Provider Demographics
NPI:1821395385
Name:GEORGE, THOMAS E
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:GEORGE
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 1:3003 FERGUSON RD
Mailing Address - Street 2:2
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2430
Mailing Address - Country:US
Mailing Address - Phone:513-264-2773
Mailing Address - Fax:
Practice Address - Street 1:3003 FERGUSON RD
Practice Address - Street 2:2
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2430
Practice Address - Country:US
Practice Address - Phone:513-264-2773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide