Healthcare Provider Details

I. General information

NPI: 1558974543
Provider Name (Legal Business Name): DGD HEALTHCARE SOLUTIONS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7905 MALCOLM RD STE 103
CLINTON MD
20735-1701
US

IV. Provider business mailing address

7905 MALCOLM RD STE 103
CLINTON MD
20735-1701
US

V. Phone/Fax

Practice location:
  • Phone: 240-427-5426
  • Fax:
Mailing address:
  • Phone: 240-427-5426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. RHONDA KEISHA POWELL
Title or Position: OWNER
Credential:
Phone: 240-427-5426