Doctor Name: | ANTONY M GEORGE |
NPI Number: | 1366443541 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35064060 |
Business Practice Address: | 28080 Chardon Rd Ste 204 Willoughby Hills, OH - 440923000 |
Business Phone Number: | 4409442864 |
Business Fax Number: | 4409442697 |
Mailing Address: | 28080 Chardon Rd, Ste 204 WILLOUGHBY HILLS |
State: | OH |
Postal Code: | 440923000 |
Phone Number: | 4409442864 |
Fax Number: | 4409442697 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 11/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083S0010X |
License Number: | 35064060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |