| NPI | 1255889572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANA LYNN DAVIS Operations Consultant 240-299-6991 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |