# ALLIANCE PRIMARY CARE

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

## Provider details

- **NPI number:** 1184105298
- **Authorized official:** VICKY BAUGHER CRNP (OWNER)
- **Authorized official phone:** (410) 596-1720

## Contact information

- **Practice address:** 104 N MAIN ST, UNION BRIDGE, MD 21791-9102
- **Practice address phone:** (410) 775-2622
- **Practice address fax:** (410) 848-5629
- **Mailing address:** PO BOX 591, UNION BRIDGE, MD 21791-0592
- **Mailing address phone:** (443) 937-6258
- **Mailing address fax:** (949) 404-6023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R139731 | MD | Yes |

## Other

- **Enumeration date:** 08/27/2018
- **Last updated:** 12/06/2018
