| Cjw Enterprise Llc | |
|
176 Thomas Johnson Dr Ste 203 Frederick MD 21702-4535 | |
| (240) 315-4541 | |
| (240) 844-5577 |
| Full Name | Cjw Enterprise Llc |
|---|---|
| Speciality | General Practice |
| Location | 176 Thomas Johnson Dr Ste 203, Frederick, Maryland |
| Authorized Official Name and Position | Craig Lamar Cheeks Washington (PHYSICIAN OWNER) |
| Authorized Official Contact | 2403154541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cjw Enterprise Llc Po Box 4221 Frederick MD 21705-4221 Ph: (240) 315-4541 | Cjw Enterprise Llc 176 Thomas Johnson Dr Ste 203 Frederick MD 21702-4535 Ph: (240) 315-4541 |
| NPI Number | 1790671329 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790671329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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