George, Diane Teresa
George, Diane Teresa is an individual health care provider with primary practice located at 16817 Marvin Rd , Charlotte NC 28277-2196. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. George, Diane Teresa can be contacted via phone (704) 900-6225.Contact Information
Primary practice address
16817 Marvin Rd
Charlotte NC 28277-2196
Phone: (704) 900-6225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2012-00850 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 2012-00850 | North Carolina |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 91931 | South Carolina |
Profile Details
| NPI number | 1811130123 |
|---|---|
| LBN Legal business name | George, Diane Teresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2009 |
| Last updated | Jun 11th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811130123 | NPPES |
| South Carolina | MEDICAID | NC1591 | |
| South Carolina | MEDICAID | 5920351 | |
| South Carolina | MEDICAID | 1811130123 |
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