Provider Demographics
NPI:1144312034
Name:JAWORSKI, CHERYL HAMILTON (MD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:HAMILTON
Last Name:JAWORSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2670 CRAIN HWY
Mailing Address - Street 2:SUITE 501
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-2806
Mailing Address - Country:US
Mailing Address - Phone:301-843-0968
Mailing Address - Fax:301-885-0961
Practice Address - Street 1:2670 CRAIN HWY
Practice Address - Street 2:SUITE 501
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-2806
Practice Address - Country:US
Practice Address - Phone:301-843-0968
Practice Address - Fax:301-885-0961
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00373992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry