Individual
MR. DWAYNE HALLMAN CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8732 BELAIR RD, NOTTINGHAM, MD 21236-2420
(410) 248-0040
(410) 248-0313
Mailing address
8732 BELAIR RD, NOTTINGHAM, MD 21236-2420
(410) 248-0040
(410) 248-0313
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411915-01
CAREFIRST
MD
01
—
50078
DAVIS
MD
Enumeration date
01/02/2007
Last updated
07/08/2007
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