SearchMaryland171M00000X

Samuel Whittaker

NPI 1205536018 · on the registry since 2023 · sole proprietor

Practice

Address
104 Brighton Knoll Ct
Accokeek, MD 20607
Phone
(202) 997-4631

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
261QM0801X
261QM0801X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland