Dr. Georg Jonathan Dahl, MD
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Norfolk, VA. Individual provider (NPI-1).
NPI number1699755066
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1699755066
- Entity type
- Individual (NPI-1)
- Name
- Dr. Georg Jonathan Dahl
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2006
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 0101236801 | VA | Yes |
Practice location
850 Southampton Ave Fl 3Norfolk, VA 23510-1021
Phone 757-668-9920 · Fax 757-668-9930
Mailing address
850 Southampton Ave Fl 3Norfolk, VA 23510-1021
Phone 757-668-9920 · Fax 757-668-9930
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