Provider Demographics
NPI:1417362187
Name:MCCLINTOCK, SABRINA MARGARITA (DO)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:MARGARITA
Last Name:MCCLINTOCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 CANDLELIGHT LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2758
Mailing Address - Country:US
Mailing Address - Phone:305-609-1513
Mailing Address - Fax:
Practice Address - Street 1:220 PERRY PKWY STE 5
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2145
Practice Address - Country:US
Practice Address - Phone:305-609-1513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-21
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0099376208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics