# MAIN STREET MED CENTER LLC

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

## Provider details

- **NPI number:** 1164493482
- **Authorized official:** DR. JAMES ONEIL BURNS DO (MEDICAL DIRECTOR CO OWNER)
- **Authorized official phone:** (410) 548-2700

## Contact information

- **Practice address:** 951A MOUNT HERMON RD, SALISBURY, MD 21804-5105
- **Practice address phone:** (410) 548-2700
- **Practice address fax:** (410) 548-2608
- **Mailing address:** 951A MOUNT HERMON RD, SALISBURY, MD 21804-5105
- **Mailing address phone:** (410) 548-2700
- **Mailing address fax:** (410) 548-2608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M36690 | MD | Yes |

## Other

- **Enumeration date:** 01/27/2006
- **Last updated:** 08/22/2020