| Prince George's County Health Department | |
|
9314 Piscataway Rd Clinton MD 20735-3630 | |
| (301) 856-9400 | |
| (301) 883-7890 |
| Full Name | Prince George's County Health Department |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9314 Piscataway Rd, Clinton, Maryland |
| Authorized Official Name and Position | Tamala Butler (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3018837822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince George's County Health Department 1701 Mccormick Dr Ste 120 Largo MD 20774-5329 Ph: (301) 883-7822 | Prince George's County Health Department 9314 Piscataway Rd Clinton MD 20735-3630 Ph: (301) 856-9400 |
| NPI Number | 1558857474 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 09/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558857474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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