NPI | 1588093652 |
---|---|
Other Name | POTOMAC PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | MARY WRIGHT-SISK Director 443-422-9941 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2013-11-08 |
Last Update Date | 2022-01-04 |