| Ch Md Southern Collaborative Care Pc | |
|
2300 Oxford Shire Ct Waldorf MD 20603-3215 | |
| (667) 207-7006 | |
| (888) 722-4282 |
| Full Name | Ch Md Southern Collaborative Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 Oxford Shire Ct, Waldorf, Maryland |
| Authorized Official Name and Position | Melissa M Cooke (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9727153808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ch Md Southern Collaborative Care Pc 4055 Valley View Ln Suite 400 Dallas TX 75244-5074 Ph: (972) 715-3800 | Ch Md Southern Collaborative Care Pc 2300 Oxford Shire Ct Waldorf MD 20603-3215 Ph: (667) 207-7006 |
| NPI Number | 1982005237 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 02/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982005237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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