Provider Demographics
NPI:1831376102
Name:PEARMAN, GEORGE L II (CNA,CMA)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:L
Last Name:PEARMAN
Suffix:II
Gender:M
Credentials:CNA,CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10410A BALTIMORE NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-2132
Mailing Address - Country:US
Mailing Address - Phone:443-825-0682
Mailing Address - Fax:
Practice Address - Street 1:800 W BALTIMORE ST
Practice Address - Street 2:6TH FL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1138
Practice Address - Country:US
Practice Address - Phone:410-706-4023
Practice Address - Fax:410-706-8964
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00049801374700000X
MD0151832146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic