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NPI Code Detail

MEDICARE: CJW ENTERPRISE

MEDICARE: CJW ENTERPRISE
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1790671329
Entity Type Code : Organization
Provider Name (Legal Business Name) : CJW ENTERPRISE
Provider Business Mailing Address
First Line : PO BOX 4221
Second Line :
City : FREDERICK
State : MD
Zip : 21705-4221
Country : US
Telephone Number : 240-315-4541
Fax Number : 240-844-5577
Provider Business Practice Location Address
First Line : 176 THOMAS JOHNSON DR STE 203
Second Line :
City : FREDERICK
State : MD
Zip : 21702-4535
Country : US
Telephone Number : 240-315-4541
Fax Number : 240-844-5577
Authorized Official
Title or Position : PHYSICIAN OWNER
Name : DR. CRAIG LAMAR CHEEKS WASHINGTON
Credential : MD
Telephone Number : 240-315-4541
Provider Enumeration Date : 06/18/2025
Last Update Date : 09/15/2025

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Directions to “CJW ENTERPRISE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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