Provider Demographics
NPI:1851019251
Name:MCEADDY, MARKUS (CFO)
Entity Type:Individual
Prefix:
First Name:MARKUS
Middle Name:
Last Name:MCEADDY
Suffix:
Gender:M
Credentials:CFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9802 WOODVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2796
Mailing Address - Country:US
Mailing Address - Phone:202-826-1115
Mailing Address - Fax:240-264-5909
Practice Address - Street 1:9802 WOODVIEW DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2796
Practice Address - Country:US
Practice Address - Phone:202-826-1115
Practice Address - Fax:240-264-5909
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker