MEDICARE: DR. DAWNA DILWORTH-WHITE 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
1	207V00000X	Obstetrics & Gynecology Physician	D0054520	MD
2	207V00000X	Obstetrics & Gynecology Physician	MD31581	DC

General Provider Information

NPI Number	:	1821141292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWNA DILWORTH-WHITE M.D.

Provider Business Mailing Address
First Line	:	4302 SAINT BARNABAS RD
Second Line	:	UNIT D
City	:	MARLOW HEIGHTS
State	:	MD
Zip	:	20748-1842
Country	:	US
Telephone Number	:	301-316-1206
Fax Number	:	301-316-1209

Provider Business Practice Location Address
First Line	:	4302 SAINT BARNABAS RD
Second Line	:	UNIT D
City	:	MARLOW HEIGHTS
State	:	MD
Zip	:	20748-1842
Country	:	US
Telephone Number	:	301-316-1206
Fax Number	:	301-316-1209

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

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	03/07/2013

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