Organization
PRINCE GEORGE'S MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARCIE BROWN (CEO)
(301) 534-0783
Entity
Organization
Contact information
Practice address
3605 GALLATIN ST, SUITE 513, HYATTSVILLE, MD 20782-3931
(301) 534-0783
(301) 263-7221
Mailing address
PO BOX 514, TEMPLE HILLS, MD 20757-0514
(301) 534-0783
(301) 263-7221
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
13890384
MD
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
Update your record
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