NPI:
1861517336
Provider Name:
PRIMARY CARE OF GERMANTOWN,LC
Former Legal Business Name: EVERGREEN MEDICAL CENTER, LLC
Classification:
Clinic/Center - 261QP2300X
Entity Type:
Organization
Specialization: Primary Care
Address:
6 EXECUTIVE PARK CT
GERMANTOWN, MD
ZIP 20874
Phone:
(301) 515-9160
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PRIMARY CARE OF GERMANTOWN,LC is a primary care clinic center in Germantown, MD. PRIMARY CARE OF GERMANTOWN,LC NPI is 1861517336. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Evergreen Medical Center, Llc.
The provider's business location address is:
6 EXECUTIVE PARK CT
GERMANTOWN, MD
ZIP 20874-645
Phone: (301) 515-9160
Fax: (301) 515-7388
The provider's authorized official is Sharon Xiao-chun Yang .
The authorized official title is Attending Physician and has the following contact phone number (240) 688-6949.
The enumeration date for this NPI number is 3/20/2007 and was last updated on 6/1/2011.