Fred George Ph.D,, P.A.

LBN: Fred George Ph.D,, P.A.
Fred George Ph.D,, P.A. is an health care organization with primary practice located at 1275 James Dr Suite A, Enterprise AL 36330-2063. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Fred George Ph.D,, P.A. can be contacted via phone (334) 347-1862, or through George, Fred via phone (334) 347-1862.

Contact Information

Primary practice address
1275 James Dr Suite A Enterprise AL 36330-2063
Phone: (334) 347-1862
Fax: (334) 347-2919
Website:
Map and Directions
Authorized official contact:
Name: George, Fred PH.D.
Phone: (334) 347-1862

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 143 Alabama

Profile Details

NPI number 1548418452
LBN Legal business name Fred George Ph.D,, P.A.
DBA Doing business as
Authorized official George, Fred PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2008
Last updated Sep 4th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548418452 NPPES
Alabama MEDICAID 890001970

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