Provider Demographics
NPI:1841383940
Name:GEORGE, ARGILLA R (MD)
Entity Type:Individual
Prefix:MRS
First Name:ARGILLA
Middle Name:R
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 LONG SANDS RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1158
Mailing Address - Country:US
Mailing Address - Phone:207-363-8430
Mailing Address - Fax:207-351-3006
Practice Address - Street 1:127 LONG SANDS RD
Practice Address - Street 2:SUITE 11
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1158
Practice Address - Country:US
Practice Address - Phone:207-363-8430
Practice Address - Fax:207-351-3006
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420009412207Q00000X
ME013124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0VN1513Medicaid
08V207OtherMVP
VT29189OtherBCBS
08V207OtherMVP
VT0VN1513Medicaid