Bewayo, Georgia E

Bewayo, Georgia E is an individual health care provider with primary practice located at 6 Garrett Avenue , La Plata MD 20646-4010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bewayo, Georgia E can be contacted via phone (301) 539-5100.

Contact Information

Primary practice address
6 Garrett Avenue La Plata MD 20646-4010
Fax: (301) 934-2084
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F1106110 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R179194 Maryland

Profile Details

NPI number 1669524898
LBN Legal business name Bewayo, Georgia E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Feb 16th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669524898 NPPES
Maryland MEDICAID 330813800

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