| NPI | 1235669599 |
|---|---|
| Doing Business As | CHRONIC DISEASE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID MCCORMICK A VP 410-701-4618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-07-21 |