Provider Demographics
NPI:1063525194
Name:SCURRY, PEGGY JB (MD)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:JB
Last Name:SCURRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 SPRINGBROOK DR
Mailing Address - Street 2:SILVER SPRING
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2835
Mailing Address - Country:US
Mailing Address - Phone:301-622-7053
Mailing Address - Fax:301-622-1850
Practice Address - Street 1:8484 GEORGIA AVE
Practice Address - Street 2:SILVER SPRING
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-5604
Practice Address - Country:US
Practice Address - Phone:301-495-7420
Practice Address - Fax:301-495-7423
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD11706207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCB93505Medicare UPIN
DC012829H13Medicare ID - Type Unspecified