# PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT

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

## Provider details

- **NPI number:** 1578821153
- **Authorized official:** TAMALA BUTLER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (301) 883-7822

## Contact information

- **Practice address:** 3003 HOSPITAL DRIVE - GROUND FLOOR, CHEVERLY, MD 20785
- **Practice address phone:** (301) 583-5920
- **Practice address fax:** (301) 583-5853
- **Mailing address:** 1701 MCCORMICK DR STE 120, LARGO, MD 20774-5329
- **Mailing address phone:** (301) 883-7822
- **Mailing address fax:** (301) 883-7890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 09/17/2020