MID ATLANTIC PRIMARY CARE NPI 1790257855

NPI Information

MID ATLANTIC PRIMARY CARE is a primary care nurse practitioner in Salisbury, MD. MID ATLANTIC PRIMARY CARE NPI is 1790257855. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1325 MOUNT HERMON RD STE 9A
SALISBURY, MD
ZIP 21804-259
Phone: (410) 713-8804

The provider's authorized official is Traci Church .
The authorized official title is Owner and has the following contact phone number (410) 713-8804.

The CLIA number assigned to this NPI record is 21D2165875 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2018 and was last updated on 12/28/2018.

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:

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