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NPI Code Detail

MEDICARE: MRS. KATIE JANE GERARGE PA-C

MEDICARE: MRS. KATIE JANE GERARGE PA-C
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
1363AM0700XMedical Physician Assistant0110002095VA

General Provider Information

NPI Number : 1962682534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATIE JANE GERARGE PA-C
Provider Business Mailing Address
First Line : 3315 HIGH ST
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23707-3319
Country : US
Telephone Number : 757-399-0759
Fax Number : 757-397-8951
Provider Business Practice Location Address
First Line : 3315 HIGH ST
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23707-3319
Country : US
Telephone Number : 757-399-0759
Fax Number : 757-397-8951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2007
Last Update Date : 03/07/2023

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Directions to “ MRS. KATIE JANE GERARGE PA-C” Practice Location

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