Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Parent organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Authorized official
TAMALA VICKS (CREDENTIALING SPECIALIST)
(240) 302-8576
Entity
Organization
Contact information
Practice address
6 GARRETT AVE, LA PLATA, MD 20646-5959
(240) 302-8576
Mailing address
1701 MCCORMICK DR STE 120, LARGO, MD 20774-5329
(240) 302-8576
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
12/16/2025
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