Provider Demographics
NPI:1891766978
Name:GEORGE, JOHN P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5354 REYNOLDS ST STE 315
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6010
Mailing Address - Country:US
Mailing Address - Phone:912-692-0755
Mailing Address - Fax:912-692-0754
Practice Address - Street 1:5354 REYNOLDS ST STE 315
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6010
Practice Address - Country:US
Practice Address - Phone:912-692-0755
Practice Address - Fax:912-692-0754
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD19666207XX0005X
GA027815207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00040122AMedicaid
GA20BBDXQMedicare ID - Type Unspecified
GAC75380Medicare UPIN
GA00040122AMedicaid