Provider Demographics
NPI:1548772478
Name:GEORGE, MARGARET LYNN (PCA)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LYNN
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PCA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:LYNN
Other - Last Name:CURRENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36 ROCK BOTTOM DRIVE
Mailing Address - Street 2:
Mailing Address - City:MABIE
Mailing Address - State:WV
Mailing Address - Zip Code:26278
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:36 ROCK BOTTOM DRIVE
Practice Address - Street 2:
Practice Address - City:MABIE
Practice Address - State:WV
Practice Address - Zip Code:26278
Practice Address - Country:US
Practice Address - Phone:304-338-0820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
G23810000322OtherPROVIDER ID