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Pr House Calls

Family Medicine, Geriatric Medicine in Bowie, MD. Organization (NPI-2).

NPI number1669985248
StatusActive
Last updated in NPPESApr 20, 2023

Details

NPI
1669985248
Entity type
Organization (NPI-2)
Legal business name
Pr House Calls
Organization subpart
No
Enumeration date
Nov 6, 2017
Certification date
Apr 13, 2023
Last updated
Apr 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QG0300X Family Medicine, Geriatric MedicineD00042719MDYes

Practice location

14408 Woodmore Oaks Ct
Bowie, MD 20721-1910

Phone 301-818-1243 · Fax 240-435-2692

Mailing address

12138 Central Ave # 953
Bowie, MD 20721-1910

Phone 301-818-1243 · Fax 240-435-2692

Authorized official

Dawne Maria Carroll
Medical Director
3018181243

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