Georgina Thelma Koomson, LPN
Individual provider Active NPI Contractor · Alexandria, VA
NPI 1780077461 · NPPES record last updated Mar 5, 2015
Key facts
- NPI
- 1780077461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- A60067095 (VA)
- Practice address
- 7951 Richmond Hwy
Apt. # 31
Alexandria, VA 22306-3019 - Phone
- (571) 313-9339
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60067095 | VA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | A60067095 | VA | Yes |
Addresses
Primary practice location
7951 Richmond Hwy
Apt. # 31
Alexandria, VA 22306-3019
Mailing address
7951 Richmond Hwy
Apt. # 31
Alexandria, VA 22306-3019
Phone (571) 313-9339
Other names
- Mrs. Georgia Thelma Nyarkoh
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.