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NPI Code Detail

MEDICARE: ADAM DARRYLL WOMACK

MEDICARE:   ADAM DARRYLL WOMACK
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1598490351
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM DARRYLL WOMACK
Provider Business Mailing Address
First Line : 3216 BURTON CT
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-1161
Country : US
Telephone Number : 301-418-3316
Fax Number :
Provider Business Practice Location Address
First Line : 4323 3RD ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-3215
Country : US
Telephone Number : 240-676-3681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2022
Last Update Date : 07/17/2022

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Directions to “ ADAM DARRYLL WOMACK ” Practice Location

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