Provider Demographics
NPI:1225238579
Name:GEORGE, SIONNE ANHELICIA CID (MD)
Entity Type:Individual
Prefix:DR
First Name:SIONNE
Middle Name:ANHELICIA CID
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:SIONNE
Other - Middle Name:ANHELICIA CID
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:299 LLOYD STREET
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510
Mailing Address - Country:US
Mailing Address - Phone:919-933-3494
Mailing Address - Fax:919-933-9201
Practice Address - Street 1:299 LLOYD ST
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1821
Practice Address - Country:US
Practice Address - Phone:919-933-3494
Practice Address - Fax:919-933-9201
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC134628207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine