Individual
DR. GWENDOLYN LEE GEFFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5842 ALLIN RD, PRINCE GEORGE, VA 23875-2363
(804) 862-4414
(804) 862-3203
Mailing address
5842 ALLIN RD, PRINCE GEORGE, VA 23875-2363
(804) 862-4414
(804) 862-3203
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111514
CIGNA
VA
01
—
154898
SOUTHERN HEALTH
VA
01
—
286055
ANTHEM BLUE CROSS BLUE SH
VA
01
—
3489701
AETNA HMO
VA
05
—
5621097
—
VA
01
—
7609261
AETNA PPO
VA
01
—
8122303
MAMSI
VA
Enumeration date
01/18/2007
Last updated
07/08/2007
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