Healthcare Provider Details

I. General information

NPI: 1710070461
Provider Name (Legal Business Name): DEBRA KAYE HARDY CARTWRIGHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 MEDICAL PKWY STE 300
ANNAPOLIS MD
21401-7992
US

IV. Provider business mailing address

2003 MEDICAL PKWY STE 300
ANNAPOLIS MD
21401
US

V. Phone/Fax

Practice location:
  • Phone: 410-266-6035
  • Fax: 410-266-9284
Mailing address:
  • Phone: 410-266-6035
  • Fax: 410-266-9284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberD0035496
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: