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Organization

CLARKSVILLE INTERNAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONA BOWIE (BILLING MANAGER)
(301) 254-6364
Entity
Organization

Contact information

Practice address
6124 RIPPLING TIDES TER, CLARKSVILLE, MD 21029-1535
(443) 248-1727
(888) 560-5303
Mailing address
6124 RIPPLING TIDES TER, CLARKSVILLE, MD 21029-1535
(443) 248-1727
(888) 560-5303

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/21/2022
Last updated
09/21/2022
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