Provider Demographics
NPI:1275945149
Name:LOVE, GEORGE LEE
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:LEE
Last Name:LOVE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3223 SPRING HILL AVE STE 554
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-1809
Mailing Address - Country:US
Mailing Address - Phone:251-709-8244
Mailing Address - Fax:251-865-1669
Practice Address - Street 1:3223 SPRING HILL AVE STE 554
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-1809
Practice Address - Country:US
Practice Address - Phone:251-709-8244
Practice Address - Fax:251-865-1669
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health