Davidsonville Pediatrics
NPI #1679657209 in Davidsonville, Maryland
Provider Information
- NPI Number
- 1679657209
- Entity Type
- Organization
- Organization Name
- Davidsonville Pediatrics
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2772 RUTLAND RD
- City
- Davidsonville
- State
- Maryland
- ZIP Code
- 21035-1228
- Phone
- (410) 269-7828
Authorized Official
- Name
- DIRENDIA SHACKELFORD
- Title
- MANAGED CARE SPECIALIST
- Phone
- (800) 654-0889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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