Provider Demographics
NPI:1205181625
Name:RITCHIE, GEORGE FAULKNER III (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:FAULKNER
Last Name:RITCHIE
Suffix:III
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 1:11829 SHERBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-1823
Mailing Address - Country:US
Mailing Address - Phone:410-252-6634
Mailing Address - Fax:
Practice Address - Street 1:11829 SHERBOURNE DR
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-1823
Practice Address - Country:US
Practice Address - Phone:410-252-6634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014332207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery