CH MD Southern Collaborative Care PC

Internal Medicine Physician · Waldorf, MD

Organization Active NPI

NPI number 1982005237

Practice location

2300 Oxford Shire Ct
Waldorf, MD 20603-3215
Phone
(667) 207-7006
Fax
(888) 722-4282

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NPI record

NPI
1982005237
Entity type
Organization (Type 2)
Enumeration date
September 5, 2014
Last updated
February 10, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X — —

Mailing address

4055 Valley View Ln
Suite 400
Dallas, TX 75244-5074
Phone
(972) 715-3800
Fax
(888) 722-4282

Authorized official

Name
Melissa M Cooke
Title
Chief Financial Officer
Phone
(972) 715-3808

About CH MD Southern Collaborative Care PC

CH MD Southern Collaborative Care PC is a healthcare organization registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 2300 Oxford Shire Ct, Waldorf, MD 20603-3215. The NPI number 1982005237 was assigned on September 5, 2014 and the record was last updated on February 10, 2015.

The authorized official for this organization is Melissa M Cooke, Chief Financial Officer.

Frequently asked questions

What is the NPI number of CH MD Southern Collaborative Care PC?

The NPI number is 1982005237.

What is the phone number of CH MD Southern Collaborative Care PC?

The phone number listed for the practice location is (667) 207-7006.

Where is CH MD Southern Collaborative Care PC located?

2300 Oxford Shire Ct, Waldorf, MD 20603-3215.

What is the taxonomy code for CH MD Southern Collaborative Care PC?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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