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Organization

SHADY GROVE DERMATOLOGY

Active
Other names
Shady Grove Dermatology, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDEE HALL DAVIDSON (BUSINESS CONSULTANT)
(240) 246-7417
Entity
Organization

Contact information

Practice address
15245 SHADY GROVE RD, SUITE 370, ROCKVILLE, MD 20850-3222
(240) 246-7417
Mailing address
15245 SHADY GROVE RD, SUITE 370, ROCKVILLE, MD 20850-3222
(240) 246-7417

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0028453
MD
261QM2500X
Medical Specialty Clinic/Center

Other

Enumeration date
02/20/2015
Last updated
03/05/2024
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