Provider Demographics
NPI:1700447562
Name:GEORGE, MILFORD DARNELL JR (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:MILFORD
Middle Name:DARNELL
Last Name:GEORGE
Suffix:JR
Gender:M
Credentials:FNP-C
Other - Prefix:
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-384-1225
Mailing Address - Fax:704-384-1226
Practice Address - Street 1:8403 UNIVERSITY EXECUTIVE PARK DRIVE
Practice Address - Street 2:SUITE 685
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-3330
Practice Address - Country:US
Practice Address - Phone:704-384-1225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5011896363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty