Provider Demographics
NPI:1114926128
Name:FAILING, GEORGE REED JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:REED
Last Name:FAILING
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1307
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21501-1307
Mailing Address - Country:US
Mailing Address - Phone:301-777-1051
Mailing Address - Fax:301-722-2475
Practice Address - Street 1:925 SETON DR
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1817
Practice Address - Country:US
Practice Address - Phone:301-777-1051
Practice Address - Fax:301-722-2475
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0015631207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1109316OtherUMWA
WV0096655000OtherWEST VIRGINIA MEDICAID
MD979411500Medicaid
MD979411500Medicaid