# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AAMG Annapolis OB-GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073036687
- **Authorized official:** JEANNETTE WOOD (REIMBURSEMENT ADMINISTRATOR)
- **Authorized official phone:** (443) 481-6521

## Contact information

- **Practice address:** 1630 MAIN ST STE 211, CHESTER, MD 21619-2793
- **Practice address phone:** (410) 573-9530
- **Mailing address:** PO BOX 12622, BELFAST, ME 04915-4017
- **Mailing address phone:** (443) 481-3354
- **Mailing address fax:** (443) 481-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2017
- **Last updated:** 05/21/2021