Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eddie Charles George Jr.

Individual provider Physician Assistant · NPI 1629713391

Eddie Charles George Jr. is a Physician Assistant in Salem, Virginia. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

1970 Roanoke Blvd
Salem, VA 24153-6404
Phone: (540) 982-2463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009163 (VA)

Record details

NPI number1629713391
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2022
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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