Degeorge, Brent R

Degeorge, Brent R is an individual health care provider with primary practice located at 1300 Jefferson Park Ave Fourth Fl , Charlottesville VA 22908-0136. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Degeorge, Brent R can be contacted via phone (404) 924-5078.

Contact Information

Primary practice address
1300 Jefferson Park Ave Fourth Fl Charlottesville VA 22908-0136
Phone: (404) 924-5078
Fax: (434) 924-8118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0101262506 Virginia

Profile Details

NPI number 1912221755
LBN Legal business name Degeorge, Brent R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2010
Last updated Jun 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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