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NPI Code Detail

MEDICARE: DR. JENNIFER NICOLE GEORGI

MEDICARE: DR. JENNIFER NICOLE GEORGI
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
1207L00000XAnesthesiology Physician0101240386VA
2207L00000XAnesthesiology Physician82280SC

General Provider Information

NPI Number : 1083723084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER NICOLE GEORGI
Provider Business Mailing Address
First Line : 120 GATEWAY CORPORATE BLVD
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-9611
Country : US
Telephone Number : 803-865-4500
Fax Number :
Provider Business Practice Location Address
First Line : 120 GATEWAY CORPORATE BLVD
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-9611
Country : US
Telephone Number : 803-865-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/16/2024

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Directions to “ DR. JENNIFER NICOLE GEORGI ” Practice Location

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