| NPI | 1225922362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA JOY DEWITT Owner 410-608-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-08-11 |