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Individual

TAIRA CHANTELE EVERETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD,MBA

Contact information

Practice address
8601 16TH ST, SILVER SPRING, MD 20910-2261
(301) 960-4682
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0077266
MD
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
D0077266
MD
208M00000X
Hospitalist Physician
Primary
D077266
MD

Other

Enumeration date
06/14/2011
Last updated
02/16/2024
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