NPI | 1962534552 |
---|---|
Former Legal Business Name | CAROL L. ST. GEORGE, D.O. |
Entity Type | Organization |
Authorized Contact | CAROL LINDA ST. GEORGE President 717-845-6261 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: PA OS004419L) |
Enumeration Date | 2007-03-10 |
Last Update Date | 2010-01-26 |