# BODYWORKS MEDICAL

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

## Provider details

- **NPI number:** 1265068373
- **Authorized official:** DR. PHILLIP SHERMAN RAGLAND MD (PRESIDENT)
- **Authorized official phone:** (240) 448-3279

## Contact information

- **Practice address:** ST. AGNES MEDICAL CENTER, 3455 WILKENS AVE SUITE 100, BALTIMORE, MD 21229
- **Practice address phone:** (240) 447-8036
- **Mailing address:** 13013 DAVENPORT DR, BRANDYWINE, MD 20613-5683
- **Mailing address phone:** (202) 270-7542
- **Mailing address fax:** (240) 213-2335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2020
- **Last updated:** 03/20/2020