Organization · Type 2 NPI

Charles County Department of Health

General Practice Physician · Nanjemoy, MD

NPI number 1659702215 Active

Practice location

4375 Port Tobacco Rd
Nanjemoy, MD 20662-3345

Mailing address

PO Box 1050
White Plains, MD 20695-1050

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

About NPI 1659702215

Charles County Department of Health's National Provider Identifier is 1659702215, issued on Dec 9, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Nanjemoy, MD. The record was last updated on Jul 22, 2014.