Healthcare Provider Details

I. General information

NPI: 1679274567
Provider Name (Legal Business Name): WORO GEORGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 N MISSOURI ST
MACON MO
63552-2095
US

IV. Provider business mailing address

3603 W BROADWAY APT 8206
COLUMBIA MO
65203-0148
US

V. Phone/Fax

Practice location:
  • Phone: 660-385-8700
  • Fax:
Mailing address:
  • Phone: 816-392-3647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2026032812
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: