# FREETOWN FAMILY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093675613
- **Authorized official:** GIBRILLA SANNOH (MEDICAL DIRECTOR)
- **Authorized official phone:** (443) 653-0459

## Contact information

- **Practice address:** 100 OWINGS CT STE 8, REISTERSTOWN, MD 21136-3045
- **Practice address phone:** (443) 653-0459
- **Practice address fax:** (410) 702-7470
- **Mailing address:** 4 SHASTA CIR APT F, OWINGS MILLS, MD 21117-3720
- **Mailing address phone:** (443) 653-0459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2025
- **Last updated:** 11/15/2025
