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Organization

BODYWORKS MEDICAL

Active
Other names
Ragland Medical
Organization subpart
No

Provider details

NPI number
Authorized official
EMMA CULL (COO)
(678) 469-5011
Entity
Organization

Contact information

Practice address
12805 OLD FORT RD STE 301, FORT WASHINGTON, MD 20744-2814
(301) 658-7338
Mailing address
12805 OLD FORT RD STE 301, FORT WASHINGTON, MD 20744-2814

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
12/11/2018
Last updated
12/11/2018
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