| Doctor Name: | GEORGINA SACKEY |
| NPI Number: | 1114385515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R208782 |
| Business Practice Address: | 3902 Annapolis Rd Lansdowne, MD - 212272249 |
| Business Phone Number: | 4108871003 |
| Business Fax Number: | |
| Mailing Address: | 6401 York Rd, BALTIMORE |
| State: | MD |
| Postal Code: | 212122152 |
| Phone Number: | 4108871058 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2016 |
| NPI Last Update Date: | 03/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | R208782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |