Individual
DR. CONTAH S NIMELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 N WALNUT ST, HAGERSTOWN, MD 21740-4738
(301) 393-3414
Mailing address
2404 HUNTERS CHASE CT, FREDERICK, MD 21702-2616
(610) 776-2949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0066512
MD
207Q00000X
Family Medicine Physician
MD432376
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211841
MEDICARE PROVIDER #
—
Enumeration date
08/06/2007
Last updated
02/04/2022
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