Individual
JEREMIAH STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 VARNUM ST NE, WASHINGTON, DC 20017-2145
(202) 854-7240
Mailing address
502 LONGHORN CRES, ROCKVILLE, MD 20850-5742
(803) 447-8743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
048182
GA
2083X0100X
Occupational Medicine Physician
Primary
MD210002730
DC
Other
Enumeration date
10/02/2006
Last updated
10/24/2022
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