MEDICARE: MR. DENNIS SCURRY JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0401X	Addiction Medicine (Family Medicine) Physician	MC10997	DC
2	2085R0202X	Diagnostic Radiology Physician	MD 10997	DC

General Provider Information

NPI Number	:	1578684817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DENNIS SCURRY JR. MD

Provider Business Mailing Address
First Line	:	6323 GEORGIA AVENUE NW
Second Line	:	SUITE 208
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1137
Country	:	US
Telephone Number	:	202-291-0124
Fax Number	:	301-622-1850

Provider Business Practice Location Address
First Line	:	6323 GEORGIA AVE NW
Second Line	:	SUITE 208
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1137
Country	:	US
Telephone Number	:	202-291-0124
Fax Number	:	301-622-1850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	09/11/2025

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