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Individual

DR. LEON PAUL GEORGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
855 W BRAMBLETON AVE, NORFOLK, VA 23510-1005
(757) 446-5908
(757) 446-7055
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5908
(757) 446-7055

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101020996
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101020996
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006026419
VA
01
081974
ANTHEM
VA
01
15023
SENTARA OPTIMA
VA
01
215707
UHC/MAMSI
VA
05
890554G
NC
Enumeration date
02/16/2006
Last updated
05/06/2008
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