Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 22DI00829800 | NJ |
Y | 213EG0000X | General Practice | 22DI00829800 | NJ |
NPI | 1003212598 |
---|---|
Provider Name | Dr. George Rankin |
First Address | Cherry Hill, NJ 08003 |
Second Address | Cherry Hill, NJ 08003-1825 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2014 |
Last Update Date | 10/11/2014 |