NPI | 1245370311 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY EARL ATKINSON Owner 410-768-8600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MD D43303) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2008-07-24 |