Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Other names
Breast and Cervical Cancer Screening
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE WHITAKER (MANAGER, CLIENT INFORMATION SERVICE)
(301) 883-7861
Entity
Organization
Contact information
Practice address
1801 MCCORMICK DR FL 2, LARGO, MD 20774-5326
(301) 883-3525
Mailing address
1701 MCCORMICK DR, LARGO, MD 20774-5329
(301) 883-7861
(301) 883-7890
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74001
—
MD
05
—
74002
—
MD
Enumeration date
04/19/2007
Last updated
08/22/2020
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