Organization
FREEDMENS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYON CHAVIS MD (MEMBER)
(704) 713-4403
Entity
Organization
Contact information
Practice address
9605 OXBRIDGE WAY, BOWIE, MD 20721-3035
(704) 713-4403
Mailing address
9605 OXBRIDGE WAY, BOWIE, MD 20721-3035
(704) 713-4403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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