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KATHARINE C. DEGEORGE M.D.

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1356665921

Individual Registrant:
 KATHARINE C. DEGEORGE M.D.
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

Contact information for business:
PO BOX 9007  CHARLOTTESVILLE, VA 22906-9007 US
Tel: --  Fax: --

Registration Information:
NPI: 1356665921
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
VA0101254215

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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