Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGIA QUEEN
Active Sole ProprietorGEORGIA QUEEN is a Community Health Worker healthcare provider located in WAYNE, West Virginia. NPI 1457944647 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · WAYNE, WV
Registration Details
- NPI Number
- 1457944647
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 18, 2021 (5.4919718094092 yrs)
- Last Updated
- Feb 18, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
618 MOUNT VERNON RIDGE RDWAYNE, WV, 255704629Browse WV providers · Browse ZIP 25570
- Phone
- 3865460041
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in WAYNE, WV
| Name | Credential | NPI |
|---|---|---|
| LINDA F MAY | — | 1457944183 |
| SEAY JERVIS | — | 1558955476 |
| RUTH CROWE | — | 1609452994 |
| EDNA THACKER | — | 1609542281 |
| SALLY THACKER | — | 1871232348 |
| JON A REED JR. | — | 1356075626 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.