NPI | 1023488020 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDI HOPSON Operations Officer 240-842-1433 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D15200) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2016-04-06 |