MEDICARE: DR. KAREN DIXON CARRINGTON 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	2080A0000X	Pediatric Adolescent Medicine Physician	D0019511	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245310002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN DIXON CARRINGTON MD

Provider Business Mailing Address
First Line	:	4467 OLD BRANCH AVE 103
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748
Country	:	US
Telephone Number	:	301-702-3049
Fax Number	:

Provider Business Practice Location Address
First Line	:	4467 OLD BRANCH AVE STE 103
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-1854
Country	:	US
Telephone Number	:	301-702-3049
Fax Number	:

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/09/2007

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