| NPI | 1134235039 |
|---|---|
| Other Name | CENTENNIAL MEDICAL GROUP MULTI SPECIALTY |
| Entity Type | Organization |
| Authorized Contact | RIA YOUNG Credentialing Manager 410-730-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 208D00000X General Practice | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2024-04-03 |