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Individual

DR. EDDIE EMANUEL NANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4141 W WILSON RD BLDG 1600, INDIAN HEAD, MD 20640-5162
(301) 744-4602
Mailing address
4141 W WILSON RD BLDG 1600, INDIAN HEAD, MD 20640-5162
(301) 744-4604
(301) 744-4361

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101263150
VA
207Q00000X
Family Medicine Physician
83353
SC

Other

Enumeration date
04/04/2016
Last updated
02/26/2026
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