# PREVENTIVE CARE NETWORK SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407913296
- **Authorized official:** DENISE HERRY (MEDICAL CODER/BILLER)
- **Authorized official phone:** (301) 868-7333

## Contact information

- **Practice address:** 9001 WOODYARD RD STE C, CLINTON, MD 20735
- **Practice address phone:** (301) 868-7333
- **Practice address fax:** (301) 868-9023
- **Mailing address:** 9001 WOODYARD RD STE C, CLINTON, MD 20735-4264
- **Mailing address phone:** (301) 868-7333
- **Mailing address fax:** (301) 868-9023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/29/2025