George Deshazor

NPI 1497345078 · on the registry since 2021 · sole proprietor

Practice

Address: 707 N Courthouse Rd
North Chesterfield, VA 23236
Phone: (804) 924-2236
Fax: (866) 626-4469
Organisation at this address: Ems Va Llc
Myspectrum Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 20

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia