Organization
AMERICAN HEALTHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY E. WILCOX II RN (LOCAL CARE COORDINATOR)
(301) 570-4460
Entity
Organization
Contact information
Practice address
18100 HEADWATERS DR, OLNEY, MD 20832-1751
(301) 570-4460
Mailing address
18100 HEADWATERS DR, OLNEY, MD 20832-1751
(301) 570-4460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
459165
CA
163W00000X
Registered Nurse
Primary
R193056
MD
Other
Enumeration date
12/10/2011
Last updated
12/10/2011
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