Individual
DR. JAMAL KAVON GWATHNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, FAAFP
Contact information
Practice address
3720 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1548
(202) 279-1800
(202) 279-4349
Mailing address
14706 HARVEST LN, SILVER SPRING, MD 20905-5641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD35077
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036832600
—
DC
Enumeration date
06/03/2006
Last updated
03/08/2010
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