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Organization
PORT RECOVERY PHYSICIANS CARE LLC
Active
Organization
PORT RECOVERY PHYSICIANS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE GRANRUTH (OWNER)
(410) 534-8735
Entity
Organization
Contact information
Practice address
8615 RIDGELYS CHOICE DR STE 205, NOTTINGHAM, MD 21236-3028
(443) 869-4909
(443) 869-4928
Mailing address
8615 RIDGELYS CHOICE DR STE 205, NOTTINGHAM, MD 21236-3028
(443) 534-8735
(410) 534-8737
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
05/30/2025
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