# PRINCE GEORGE'S COUNTY HEALTH

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

## Provider details

- **NPI number:** 1447182415
- **Authorized official:** TAMALA VICKS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (301) 883-7822

## Contact information

- **Practice address:** 8030 MATTHEWS RD UNIT 105-107, BRYANS ROAD, MD 20616-4265
- **Practice address phone:** (301) 883-7879
- **Mailing address:** 9187 CENTRAL AVE, CAPITOL HEIGHTS, MD 20743-3806
- **Mailing address phone:** (301) 883-7879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2026
- **Last updated:** 06/03/2026