Individual
KATHARINE C. DEGEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4916 PLANK RD, NORTH GARDEN, VA 22959-1613
(434) 243-4660
(434) 977-3703
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101254215
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2010
Last updated
07/05/2019
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