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Organization

PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT

Active
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Organization

PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT

Active
Other names
Breast and Cervical Cancer
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DARLENE WHITAKER (MANAGER, CLIENT INFORMATION SERVICE)
(301) 883-7861
Entity
Organization

Contact information

Practice address
1801 MCCORMICK DR, SUITE 260, LARGO, MD 20774-5326
(301) 883-3525
Mailing address
1701 MCCORMICK DR, LARGO, MD 20774-5329
(301) 883-7861

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
74004
BREAST AND CERVICAL CANCE
MD
Enumeration date
06/11/2007
Last updated
08/22/2020
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