| NPI | 1790516797 |
|---|---|
| Doing Business As | FREDERICK HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHELBY BOGGS A VP 240-315-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |