George, Diane Teresa

George, Diane Teresa is an individual health care provider with primary practice located at 1040 Edgewater Corporate Pkwy Ste 106 , Fort Mill SC 29707-4526. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. George, Diane Teresa can be contacted via phone (803) 913-4500.

Contact Information

Primary practice address
1040 Edgewater Corporate Pkwy Ste 106 Fort Mill SC 29707-4526
Phone: (803) 913-4500
Fax: (803) 913-4600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012-00850 North Carolina
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 91931 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2012-00850 North Carolina

Profile Details

NPI number 1811130123
LBN Legal business name George, Diane Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2009
Last updated Feb 25th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811130123 NPPES
South Carolina MEDICAID NC1591
South Carolina MEDICAID 1811130123
South Carolina MEDICAID 5920351

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