Provider Demographics
NPI:1831184480
Name:STRICKLAND, GEORGE MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:MICHAEL
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 SW 38TH ST
Mailing Address - Street 2:JIM TALIAFERRO COMMUNITY MENTAL HEALTH CENTER
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-6912
Mailing Address - Country:US
Mailing Address - Phone:580-248-5780
Mailing Address - Fax:580-248-3610
Practice Address - Street 1:602 SW 38TH ST
Practice Address - Street 2:JIM TALIAFERRO COMMUNITY MENTAL HEALTH CENTER
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-6912
Practice Address - Country:US
Practice Address - Phone:580-248-5780
Practice Address - Fax:580-248-3610
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK222272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200015480AMedicaid
OK347459111OtherDOL
P00069148OtherRAILROAD MEDICARE
OK200015480AMedicaid
OK241335209Medicare ID - Type Unspecified
OK241335209Medicare PIN
OK347459111OtherDOL
H96664Medicare UPIN