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Individual

CHRISTINE ANNE DEGNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1409 SAVANNAH RD, LEWES, DE 19958-1610
(302) 786-0828
Mailing address
1409 SAVANNAH RD, LEWES, DE 19958-1610
(302) 786-0828
(302) 200-8257

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
058087
GA
207Q00000X
Family Medicine Physician
ME111108
FL
207Q00000X
Family Medicine Physician
Primary
Q9145
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01348056
AMERIGROUP
01
08CBCNB
OLD MEDICARE PTAN FOR SCREVEN
GA
01
1750314183
COMMUNITY HEALTH CENTER
GA
01
251294760D
OLD GA MEDICAID ID FOR SCREVEN
GA
01
251294760E
OLD GA MEDICAID ID FOR SCREVEN
GA
05
251294760F
GA
01
52222516-004
BCBS
GA
01
582162071-014
TRICARE AFFILIATION ID
05
GA1033
SC
01
P00819758
RR MEDICARE
GA
Enumeration date
08/09/2006
Last updated
11/23/2021
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