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NPI Code Detail

MEDICARE: DR. ADRIENNE ELIZABETH CHARLES M.D.

MEDICARE: DR. ADRIENNE ELIZABETH CHARLES M.D.
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
1207Q00000XFamily Medicine PhysicianMD34010DC
2207Q00000XFamily Medicine PhysicianD0077060MD

General Provider Information

NPI Number : 1376873711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADRIENNE ELIZABETH CHARLES M.D.
Provider Business Mailing Address
First Line : 2150 PENNSYLVANIA AVE NW STE 10-425
Second Line :
City : WASHINGTON
State : DC
Zip : 20037-3201
Country : US
Telephone Number : 202-741-3360
Fax Number : 202-741-2276
Provider Business Practice Location Address
First Line : 6201 ANNAPOLIS RD
Second Line :
City : LANDOVER HILLS
State : MD
Zip : 20784-1307
Country : US
Telephone Number : 301-276-3377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2010
Last Update Date : 02/26/2021

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