| NPI | 1265115562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MULL Owner 410-651-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| 208D00000X General Practice | |
| 261QR1300X Clinic/Center, Rural Health | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2024-07-01 |