St. Mary'S Medical Associates, LLC
Family Medicine in Leonardtown, MD. Organization (NPI-2).
NPI number1477611689
StatusActive
Last updated in NPPESApr 18, 2008
Details
- NPI
- 1477611689
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Mary'S Medical Associates, LLC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Apr 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
41680 Miss Bessie DrLeonardtown, MD 20650-2906
Phone 301-997-0055
Mailing address
41680 Miss Bessie DrLeonardtown, MD 20650-2906
Phone 301-997-0055
Authorized official
Jennfer Hayden Boyd
Practice Manager
3018623721
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