Provider Demographics
NPI:1811032527
Name:GEORGE, WILLIAM A (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:295 KENNEDY MEMORIAL DR STE 6
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4535
Mailing Address - Country:US
Mailing Address - Phone:207-623-3790
Mailing Address - Fax:207-623-3629
Practice Address - Street 1:35 MEDICAL CENTER PKWY STE 202
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-8160
Practice Address - Country:US
Practice Address - Phone:207-623-3790
Practice Address - Fax:207-623-3629
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2023-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME014786207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME134080000Medicaid
G72959Medicare UPIN
ME134080000Medicaid