Individual
PERCIVAL CARLOS HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 612-1856
Mailing address
13309 WHITAKER PARK DR, BRANDYWINE, MD 20613-5688
(302) 331-7277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C0005080
MD
363A00000X
Physician Assistant
C0005080
MD
Other
Enumeration date
12/23/2005
Last updated
05/08/2024
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