| NPI | 1225067101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRILL THOMAS JACKSON Physician Assistant 301-754-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: MD C0000688) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |