Provider Demographics
NPI:1982771788
Name:FREIMUTH, GEORGEANN M (RD)
Entity type:Individual
Prefix:
First Name:GEORGEANN
Middle Name:M
Last Name:FREIMUTH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14392 BROADWINGED DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-5928
Mailing Address - Country:US
Mailing Address - Phone:301-491-1402
Mailing Address - Fax:301-491-1402
Practice Address - Street 1:14392 BROADWINGED DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-5928
Practice Address - Country:US
Practice Address - Phone:301-491-1402
Practice Address - Fax:301-491-1402
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD02330133V00000X
133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered