MEDICARE: GEORGINA DOYLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2306603827	VA

General Provider Information

NPI Number	:	1841605045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGINA DOYLE

Provider Business Mailing Address
First Line	:	432 MORNINGSIDE DR
Second Line	:	APT A
City	:	LEXINGTON
State	:	VA
Zip	:	24450-2739
Country	:	US
Telephone Number	:	540-319-1245
Fax Number	:

Provider Business Practice Location Address
First Line	:	432 MORNINGSIDE DR
Second Line	:	APT A
City	:	LEXINGTON
State	:	VA
Zip	:	24450-2739
Country	:	US
Telephone Number	:	540-319-1245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	06/25/2014

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Directions to “ GEORGINA DOYLE ” Practice Location

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