Edwige Goby Konwo-Tayo
Edwige Goby Konwo-Tayo is a Nurse Practitioner in Stone Mountain, Georgia. Qualified in 2017, 9 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 9
- Licensed in
- GA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1183 S Hairston Rd Ste AStone Mountain, GA 30088-2796
Phone: (404) 296-8858
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence RN220667 (GA) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence RN220667 (GA) |
Record details
| NPI number | 1538646526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 23, 2018 |
| Last updated in NPPES | December 30, 2019 |
| Certification date | December 30, 2019 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Wellstreet Of Georgia Pc — 431 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 10 on file with Medicare |
Other providers in Stone Mountain
-
Fred Dexter Gose, MD
1875 Mountain Creek Dr, Stone Mountain, GA 30087-1015 · (770) 939-0778
-
Abyalew T Sahlie
4574 Stone Ln, Stone Mountain, GA 30083-2557 · (678) 468-3356