Provider Demographics
NPI:1578613717
Name:GEORGE A HOWARD, III MD
Entity Type:Organization
Organization Name:GEORGE A HOWARD, III MD
Other - Org Name:ONSLOW RADIOLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RADIOLOGIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:III
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:910-577-1171
Mailing Address - Street 1:299 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6321
Mailing Address - Country:US
Mailing Address - Phone:910-577-1171
Mailing Address - Fax:910-577-5112
Practice Address - Street 1:299 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6321
Practice Address - Country:US
Practice Address - Phone:910-577-1171
Practice Address - Fax:910-577-5112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC300442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8944142Medicaid
NC890174CMedicaid
NC16-28853OtherUNITED HEALTHCARE
NC44142OtherBCBS INDIVIDUAL #
NC300066102OtherRAILROAD MEDICARE
NC0174COtherBCBS GROUP #
NC8944142Medicaid
NCC82143Medicare UPIN