OrganizationActive
Modern Integrative Healthcare
NPI 1073201943 · Integrative Medicine Physician · Laurel, MD
Provider details
- NPI number
- 1073201943
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Schmekia Jackson, Ceo/Owner(410) 908-4881
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9101 Cherry Ln Ste 205
Laurel, MD 20708-1151
Phone: (301) 317-7912
Fax: (301) 498-2094
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 648
Bowie, MD 20718-0648
Registry dates
- Enumerated
- 2023-04-27
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.