Provider Demographics
NPI:1235181702
Name:BRIGHT, GEORGE M (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:M
Last Name:BRIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13821 VILLAGE MILL DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-4365
Mailing Address - Country:US
Mailing Address - Phone:804-794-8900
Mailing Address - Fax:804-378-2012
Practice Address - Street 1:13821 VILLAGE MILL DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-4365
Practice Address - Country:US
Practice Address - Phone:804-794-8900
Practice Address - Fax:804-378-2012
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA19411207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine