Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMALA VICKS (CREDENTIALING SPECIALIST)
(240) 302-8576
Entity
Organization
Contact information
Practice address
3003 HOSPITAL DRIVE, CHEVERLY, MD 20785-1194
(301) 883-7879
Mailing address
1701 MCCORMICK DR STE 120, LARGO, MD 20774-5329
(240) 302-8576
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
12/16/2025
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