# GEORGETTE DIB

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1366124455
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | 35.152962 | OH | Yes |
| 2084N0600X | Clinical Neurophysiology Physician | 0116038978 | VA | — |

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 06/27/2025