Provider Demographics
NPI:1760712368
Name:MUND, GEORGETTE Y (MGC, CGC)
Entity Type:Individual
Prefix:
First Name:GEORGETTE
Middle Name:Y
Last Name:MUND
Suffix:
Gender:F
Credentials:MGC, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 BESTGATE RD
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3404
Mailing Address - Country:US
Mailing Address - Phone:410-224-4442
Mailing Address - Fax:410-224-8898
Practice Address - Street 1:820 BESTGATE RD
Practice Address - Street 2:SUITE 2C
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3404
Practice Address - Country:US
Practice Address - Phone:410-224-4442
Practice Address - Fax:410-224-8898
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS