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Individual

DR. RENEE CARTER-PERPALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
4000 MITCHELLVILLE RD, SUITE A304, BOWIE, MD 20716-3133
(301) 805-9308
(301) 805-9309
Mailing address
PO BOX 2138, BOWIE, MD 20718-2138
(301) 805-9308
(301) 805-9309

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00648
MD
213EP1101X
Primary Podiatric Medicine Podiatrist
PO368
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1125087 00
MD
01
146236
MEDICARE PTAN
Enumeration date
02/26/2007
Last updated
06/27/2015
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