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Organization
OLIVE BRANCH MEDICAL LLC
Active
Organization
OLIVE BRANCH MEDICAL LLC
Active
Other names
Olive Branch Medical Systems
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY ZHANG MD (MEDICAL DIRECTOR)
(443) 718-9470
Entity
Organization
Contact information
Practice address
3411 SILVERSIDE RD # 102, WILMINGTON, DE 19810-4812
(302) 992-8310
(662) 214-6092
Mailing address
530 HARLAN BLVD UNIT 404, WILMINGTON, DE 19801-5170
(443) 718-9470
(662) 214-6092
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
NULL
207RR0500X
Rheumatology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
NULL
Other
Enumeration date
06/24/2020
Last updated
10/04/2021
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