| NPI | 1598650202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WILKINSON SMITH Owner/ 443-655-5047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |