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KATHARINE C. DEGEORGE M.D.
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1356665921
Individual Registrant: KATHARINE C. DEGEORGE M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4916 PLANK RD NORTH GARDEN, VA 22959-1613 US
Tel: 434-243-4660 Fax: 434-977-3703
Tel: 434-243-4660 Fax: 434-977-3703
Contact information for business:
PO BOX 9007 CHARLOTTESVILLE, VA 22906-9007 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1356665921
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | VA | 0101254215 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
