Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMALA BUTLER (CREDENTIALING SPECIALIST)
(301) 883-7822
Entity
Organization
Contact information
Practice address
3003 HOSPITAL DRIVE - GROUND FLOOR, CHEVERLY, MD 20785
(301) 583-5920
(301) 583-5853
Mailing address
1701 MCCORMICK DR STE 120, LARGO, MD 20774-5329
(301) 883-7822
(301) 883-7890
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
09/17/2020
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