Individual
MISS GIVONSHY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10478 CAMPUS WAY S # 185, UPPER MARLBORO, MD 20774-1304
(240) 883-6080
Mailing address
10478 CAMPUS WAY S STE 185, UPPER MARLBORO, MD 20774-1304
(240) 883-6080
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
419974
MD
207ND0900X
Dermatopathology Physician
Primary
419974
MD
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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