Individual
DR. CAROL L SAMUELS BOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 MERCANTILE LN, LARGO MEDICAL CENTER, UPPER MARLBORO, MD 20774-5374
(301) 618-5500
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20882-7908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101034888
VA
208000000X
Pediatrics Physician
Primary
D0026859
MD
208000000X
Pediatrics Physician
MD13427
DC
Other
Enumeration date
12/12/2006
Last updated
11/09/2011
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