Healthcare Provider Details

I. General information

NPI: 1710960034
Provider Name (Legal Business Name): DEBORAH GIORGI-GUARNIERI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 04/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 MOBJACK PL
NEWPORT NEWS VA
23606-1957
US

IV. Provider business mailing address

708 MOBJACK PL
NEWPORT NEWS VA
23606-1957
US

V. Phone/Fax

Practice location:
  • Phone: 757-873-1958
  • Fax: 757-873-2143
Mailing address:
  • Phone: 757-873-1958
  • Fax: 757-873-2143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number0101228372
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: