NPI | 1699578989 |
---|---|
Doing Business As | COLUMBIA DIRECT PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | REYNALDO LEE-LLACER Owner 410-290-0255 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2025-03-31 |
Last Update Date | 2025-03-31 |