CLARISSA DAWN GEORGE (NPI# 1922281104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922281104 |
Entity Type | Individual |
Full Name | CLARISSA DAWN GEORGE |
Credential | RT (R) (CT) |
Practice Address |
5810 Waterfall Way Buford GA 30518-1376 |
Mailing Address |
107 Grovewood Ave Sanford FL 32773-5952 |
Practice Telephone | 4074486712 |
Enumeration Date | 2007-12-11 |
Last Update Date | 2007-12-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
CRT 52013 | FL | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013548569 | Clarissa Renee George | Occupational Therapist | 3745 Cherokee St Nw Ste 6023745, Kennesaw, GA 30144-6733 | 2020-02-03 |
Street Address |
5810 WATERFALL WAY |
City | BUFORD |
State | GA |
Zip Code | 30518-1376 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
Find all providers in zip 30518 |
Taxonomy Code | 2471C3401X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Computed Tomography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801297189 | Lisa Gardisser | Radiologic Technologist | 2646 Hwy 56 E, Lyons, GA 30436-4358 | 2014-09-05 |
1457609810 | Charles M Smith | Radiologic Technologist | 113 Fairview Park Dr, Suite A, Dublin, GA 31021-2501 | 2012-08-16 |
1942521067 | Kevin L Marler | Radiologic Technologist | 21 Golden Ct, Sharpsburg, GA 30277-2367 | 2010-06-14 |
1659510808 | Donn Alan Coe | Radiologic Technologist | 3815 Lovers Ln, Monroe, GA 30656-8556 | 2009-02-11 |
1619373990 | Audrey Sims | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-13 |
1023362258 | Hilda Faye Bryant | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2012-11-09 |
1063711380 | Amanda Lauren Maldonado | Radiologic Technologist | 230 Duncan Dr Bldg 1440, Department of Radiology, Savannah, GA 31409-5107 | 2011-03-25 |
1427255769 | Daniel Wilson Krevdo | Radiologic Technologist | 901 Griffin Ave, Eastman, GA 31023-6720 | 2007-06-29 |
1215133038 | Jon Andrew Logan | Radiologic Technologist | 621 North Ave, Ste. C-30, Atlanta, GA 30354-1430 | 2007-06-27 |
1447302344 | Riverdale Radiology Center | Radiologic Technologist | 833 Walnut St, Macon, GA 31201-2617 | 2007-01-18 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.