NPI | 1376283085 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXANNE SMITH-WHITE Owner 240-472-2205 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2022-03-30 |
Last Update Date | 2022-03-30 |