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MID ATLANTIC MEDICAL MANAGEMENT LLC NPI 1568904712


NPI Information

NPI: 1568904712
Provider Name: MID ATLANTIC MEDICAL MANAGEMENT , LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3050 CRAIN HWY STE 101A
WALDORF, MD
ZIP 20601
Phone: (240) 754-7130
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MID ATLANTIC MEDICAL MANAGEMENT , LLC is a general practice in Waldorf, MD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MID ATLANTIC MEDICAL MANAGEMENT , LLC NPI is 1568904712. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3050 CRAIN HWY STE 101A
WALDORF, MD
ZIP 20601-823
Phone: (240) 754-7130

The provider's authorized official is Atlee T Wampler Iv .
The authorized official title is Ceo/owner and has the following contact phone number (678) 524-6828.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 11/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeD0068492MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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