Healthcare Provider Details

I. General information

NPI: 1801717574
Provider Name (Legal Business Name): NEFERTARI F BILAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8507 OXON HILL RD STE 200
FORT WASHINGTON MD
20744-4774
US

IV. Provider business mailing address

4658 PRESIDENTIAL PKWY
MACON GA
31206-8708
US

V. Phone/Fax

Practice location:
  • Phone: 866-450-4673
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: