Abraham, George

Abraham, George is an individual health care provider with primary practice located at 1907 Mission 66 , Vicksburg MS 39180-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abraham, George can be contacted via phone (601) 619-3838.

Contact Information

Primary practice address
1907 Mission 66 Vicksburg MS 39180-3711
Phone: (601) 619-3838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 07276 Mississippi

Profile Details

NPI number 1184669798
LBN Legal business name Abraham, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Oct 28th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184669798 NPPES
Mississippi MEDICAID 0114239
Mississippi MEDICAID 1189677
Mississippi Other 4578402

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