Provider Demographics
NPI:1326036641
Name:NAWAR, GEORGES MAURICE (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGES
Middle Name:MAURICE
Last Name:NAWAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2 HOSPITAL DR
Mailing Address - Street 2:STE 101
Mailing Address - City:MORRILTON
Mailing Address - State:AR
Mailing Address - Zip Code:72110-4510
Mailing Address - Country:US
Mailing Address - Phone:501-354-1190
Mailing Address - Fax:501-354-1191
Practice Address - Street 1:2 HOSPITAL DR
Practice Address - Street 2:STE 101
Practice Address - City:MORRILTON
Practice Address - State:AR
Practice Address - Zip Code:72110-4510
Practice Address - Country:US
Practice Address - Phone:501-354-1190
Practice Address - Fax:501-354-1191
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE1562208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR020054698OtherRAILROAD MEDICARE
AR770101102OtherBREASTCARE
AR132886001Medicaid
AR5672551OtherAETNA
AR1720092OtherUNITED HEALTHCARE
AR18130000000OtherQUAL CHOICE
AR621723180OtherTRICARE
G59623Medicare UPIN
AR18130000000OtherQUAL CHOICE