Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | D0019511 | MD |
NPI | 1245310002 |
---|---|
Provider Name | Dr. Karen Dixon Carrington |
First Address | Temple Hills, MD 20748 |
Second Address | Temple Hills, MD 20748-1854 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
132631700 | (05) | MD |