Organization
MEDICAL HOME DEVELOPMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY WHETSELL MS (CEO)
(843) 412-5548
Entity
Organization
Contact information
Practice address
2112 F ST NW STE 504, WASHINGTON, DC 20037-2761
(202) 684-2784
(866) 643-9237
Mailing address
4975 LACROSS RD, SUITE 151, N CHARLESTON, SC 29406-6523
(843) 412-5548
(866) 643-9237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086030300
—
DC
Enumeration date
09/19/2013
Last updated
09/08/2022
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