Nino Dgebuadze, M.D., Ph.D.
Physical Medicine & Rehabilitation in Hagerstown, MD. Individual provider (NPI-1).
NPI number1679779409
StatusActive
Last updated in NPPESNov 20, 2018
Details
- NPI
- 1679779409
- Entity type
- Individual (NPI-1)
- Name
- Nino Dgebuadze
- Credential
- M.D., Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2007
- Last updated
- Nov 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | D0073349 | MD | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 2007012244 | MO |
Practice location
17 Western Maryland PkwySuite 100
Hagerstown, MD 21740
Phone 301-797-9240 · Fax 301-797-4119
Mailing address
4444 Forest Park AveCampus Box 8518
Saint Louis, MO 63108-8518
Phone 314-454-7757
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All 8 Physical Medicine & Rehabilitation Physician providers in Hagerstown · All 3,431 providers in Hagerstown
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