# FAMILY MEDICAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1225226046
- **Authorized official:** BEVERLY ELLIOTT (OPERATIONAL MANAGER)
- **Authorized official phone:** (410) 876-9785

## Contact information

- **Practice address:** 708C LISBON CENTER DR, WOODBINE, MD 21797-8600
- **Practice address phone:** (410) 795-7221
- **Practice address fax:** (410) 795-8920
- **Mailing address:** 332 140 VILLAGE RD, \#167, WESTMINSTER, MD 21157-6196
- **Mailing address phone:** (410) 876-9785
- **Mailing address fax:** (410) 871-1988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R069707 | MD | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 10/05/2007