George W. Pegram Iii, O.d.

NPI 1083009039 - Optometrist - 152W00000X

NPI Details
NPI 1083009039
Enumeration Date 04/06/2015
Last Updated 04/06/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name GEORGE W. GEORGE
Position PRESIDENT
Phone (757) 545-3930
Fax
Practice Location
801 POINDEXTER ST
STE 115
CHESAPEAKE VA, 23324-2358, US
Phone (757) 545-3930
Fax
Business Location
801 POINDEXTER ST
STE 115
CHESAPEAKE VA, 23324-2358, US
Phone (757) 545-3930
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618000331
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According to our database, George W. Pegram Iii, O.d. NPI is 1083009039, taxonomy code is 152W00000X and license number is 0618000331, license state is located at Virginia. George W. Pegram Iii, O.d. physically located at 801 Poindexter St, Chesapeake VA, 23324-2358. NPI Number 1033115704 has the healthcare provider type.

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1083009039 NPI number is provided on an as is basis without warranty of any kind. 1083009039 is maintained by the National Plan & Provider Enumeration System. The contents of George W. Pegram Iii, O.d. are for informational purposes only.