NPI 1073201943

Modern Integrative Healthcare

Organisation Integrative Medicine Physician Laurel, MD

Practice location

Address: 9101 Cherry Ln STE 205, Laurel, MD 20708-1151
Phone: (301) 317-7912
Fax: (301) 498-2094
Mailing address: PO Box 648, Bowie, MD 20718-0648

Authorised official

Name: Schmekia M Jackson
Title: Ceo/Owner
Phone: (410) 908-4881

Registered specialties

Integrative Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202D00000X

Other Integrative Medicine providers in Maryland →

Registry record

NPI: 1073201943
Entity type: Organization
NPI issued: 27 Apr 2023
Record last updated: 27 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.