| NPI | 1518199223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BRANNON Vice Pres Of Professional Services 410-641-9341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |