# POTOMAC FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1255336483
- **Authorized official:** MRS. DEBORAH R LEE (PRACTICE MANAGER)
- **Authorized official phone:** (301) 791-7900

## Contact information

- **Practice address:** 13424 PENNSYLVANIA AVE, SUITE 101, HAGERSTOWN, MD 21742
- **Practice address phone:** (301) 791-7900
- **Practice address fax:** (301) 791-3686
- **Mailing address:** 1324 PENNSYLVANIA AVE, SUITE 101, HAGERSTOWN, MD 21742
- **Mailing address phone:** (301) 791-7900
- **Mailing address fax:** (301) 791-3686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | NOT APPLICABLE | MD | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 05/07/2008