Provider Demographics
NPI:1306192745
Name:GIVENS, CHADMER J
Entity Type:Individual
Prefix:MR
First Name:CHADMER
Middle Name:J
Last Name:GIVENS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3227 SWANN RD
Mailing Address - Street 2:STE 301
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-1332
Mailing Address - Country:US
Mailing Address - Phone:301-967-0906
Mailing Address - Fax:
Practice Address - Street 1:3227 SWANN RD
Practice Address - Street 2:STE 301
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-1332
Practice Address - Country:US
Practice Address - Phone:301-967-0906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator