Provider Demographics
NPI:1033327903
Name:GEORGE A VRANEY MD PC
Entity type:Organization
Organization Name:GEORGE A VRANEY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VRANEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:731-444-4718
Mailing Address - Street 1:PO BOX 1798
Mailing Address - Street 2:DEPT 07 069
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-1798
Mailing Address - Country:US
Mailing Address - Phone:731-444-4718
Mailing Address - Fax:731-425-6983
Practice Address - Street 1:176 W UNIVERSITY PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-1618
Practice Address - Country:US
Practice Address - Phone:731-444-4718
Practice Address - Fax:731-425-6983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370078Medicaid
TN3370078Medicare PIN