| Doctor Name: | DANETTE GEORGE |
| NPI Number: | 1275816001 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | MA001438L |
| Business Practice Address: | 792 Gallitzin Road Cresson, PA - 16630 |
| Business Phone Number: | 8148868161 |
| Business Fax Number: | 8148862955 |
| Mailing Address: | 1684 Rodgers Ave, CRESSON |
| State: | PA |
| Postal Code: | 166301061 |
| Phone Number: | 8148862268 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2011 |
| NPI Last Update Date: | 02/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA001438L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |