Individual
JOSEPH BAXTER HAYMORE III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ACNP
Contact information
Practice address
2101 MEDICAL PARK DR, SUITE 305, SILVER SPRING, MD 20902-4053
(301) 754-0833
(301) 754-0388
Mailing address
5203 GRETCHEN ST, KENSINGTON, MD 20895-1125
(301) 946-2885
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R148158
MD
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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