# VILLAGE GREEN PRIMARY CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Crofton Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124531702
- **Authorized official:** ALLISON N WILLIAMS MD (OWNER EMPLOYEE)
- **Authorized official phone:** (410) 721-3822

## Contact information

- **Practice address:** 1684 VILLAGE GRN LOWR LEVEL, CROFTON, MD 21114-2059
- **Practice address phone:** (410) 721-3822
- **Practice address fax:** (410) 451-0960
- **Mailing address:** 1684 VILLAGE GRN LOWR LEVEL, CROFTON, MD 21114-2059
- **Mailing address phone:** (410) 721-3822
- **Mailing address fax:** (410) 451-0960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0061041 | MD | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2017
- **Last updated:** 12/03/2024