NPI 1205790599

Maurice Proctor

Practitioner Contractor Washington, DC

Practice location

Address: 1301 Lenfant Sq SE, Washington, DC 20020-6724
Phone: (704) 293-5639
Mailing address: 3790 Martin Luther King Jr Ave SE APT B7, Washington, DC 20032-1574

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1205790599
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2025
Record last updated: 11 Dec 2025

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.