Individual
GEORGIA E BEWAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 GARRETT AVENUE, LA PLATA, MD 20646-4010
(301) 539-5100
(301) 934-2084
Mailing address
4639 DIAMOND RIDGE LN, WHITE PLAINS, MD 20695-3103
(301) 396-5753
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F1106110
NC
363LF0000X
Family Nurse Practitioner
Primary
R179194
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330813800
—
MD
Enumeration date
01/17/2007
Last updated
02/16/2023
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