Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Parent organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Authorized official
TAMALA BUTLER (CREDENTIALING SPECIALIST)
(301) 883-7822
Entity
Organization
Contact information
Practice address
9314 PISCATAWAY RD, CLINTON, MD 20735-3630
(301) 856-9400
(301) 883-7890
Mailing address
1701 MCCORMICK DR STE 120, LARGO, MD 20774-5329
(301) 883-7822
(301) 883-7890
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
09/17/2020
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