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Individual

JEFFREY DIGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8609 2ND AVE, SILVER SPRING, MD 20910-3360
(240) 398-3514
Mailing address
4505 THOROUGHBRED DR, UPPER MARLBORO, MD 20772-9120

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R58704946
BCBS
Enumeration date
07/18/2019
Last updated
07/18/2019
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