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NPI Code Detail

MEDICARE: GEORGE P. DAMEWOOD IV M.D.

MEDICARE: GEORGE P. DAMEWOOD IV M.D.
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
1207Q00000XFamily Medicine Physician0101049537VA

General Provider Information

NPI Number : 1346278611
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE P. DAMEWOOD IV M.D.
Provider Business Mailing Address
First Line : PO BOX 9007
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22906-9007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24 GLOUCESTER RD
Second Line :
City : STUARTS DRAFT
State : VA
Zip : 24477-3321
Country : US
Telephone Number : 540-337-3710
Fax Number : 540-337-0930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 08/05/2013

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