Individual
DR. MARC SCOTT DEGENNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
90 WHITEWOOD RD, SUITE #2, CHARLOTTESVILLE, VA 22901-1668
(434) 978-4473
(434) 978-4644
Mailing address
90 WHITEWOOD RD, SUITE #2, CHARLOTTESVILLE, VA 22901-1668
(434) 978-4473
(434) 978-4644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1147
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000076114
ANTHEM PROVIDER NUMBER
VA
Enumeration date
09/21/2006
Last updated
07/22/2010
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