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Individual

MICHELLE ANNE GEORGIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7874
(757) 668-8658
Mailing address
9960 MAYLAND DR STE 300, HENRICO, VA 23233-1485
(800) 533-1560
(800) 533-1560

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0102206716
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
0102206716
VA

Other

Enumeration date
04/02/2018
Last updated
11/05/2025
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