Provider Demographics
NPI:1447231469
Name:POSTIC, GEORGES T (MD)
Entity Type:Individual
Prefix:
First Name:GEORGES
Middle Name:T
Last Name:POSTIC
Suffix:
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 1:2739 LAUREL ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2028
Mailing Address - Country:US
Mailing Address - Phone:803-799-4800
Mailing Address - Fax:803-252-0052
Practice Address - Street 1:2739 LAUREL ST STE 1A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2028
Practice Address - Country:US
Practice Address - Phone:803-799-4800
Practice Address - Fax:803-252-0052
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21198207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC211988Medicaid
SC4000Medicare PIN
SCH55389A890Medicare PIN
SC211988Medicaid