Individual
LESLIE PEREGOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903
(434) 924-0123
(434) 243-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024171365
VA
Other
Enumeration date
12/16/2013
Last updated
08/07/2019
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