Provider Demographics
NPI:1548594617
Name:GREIDINGER, GEORGE HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HOWARD
Last Name:GREIDINGER
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 1:5447 HIGH TOR HILL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2461
Mailing Address - Country:US
Mailing Address - Phone:410-995-3333
Mailing Address - Fax:
Practice Address - Street 1:5447 HIGH TOR HILL
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2461
Practice Address - Country:US
Practice Address - Phone:810-423-4911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0003093208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice