Individual
PAMELA CORINNE DEGEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 LEE ST, BOX 800710, CHARLOTTESVILLE, VA 22908
(434) 982-0629
(434) 982-0019
Mailing address
1215 LEE ST, BOX 800710, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0629
(434) 982-0019
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101262963
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2013
Last updated
08/13/2018
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