Individual
DR. NICHOLAS WILLIAM DIGEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
620 JOHN PAUL JONES CIRCLE, DEPARTMENT OF RADIOLOGY, PORTSMOUTH, VA 23708
(757) 953-1226
Mailing address
620 JOHN PAUL JONES CIRCLE, DEPARTMENT OF RADIOLOGY, PORTSMOUTH, VA 23708
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
0102202886
VA
2085R0202X
Diagnostic Radiology Physician
0102202886
VA
Other
Enumeration date
06/17/2010
Last updated
03/08/2021
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