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Organization
LOWER SHORE IMMEDIATE CARE OF SELBYVILLE
Active
Organization
LOWER SHORE IMMEDIATE CARE OF SELBYVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MULL PAC (OWNER)
(410) 651-0300
Entity
Organization
Contact information
Practice address
38229 DUPONT BLVD, SELBYVILLE, DE 19975-3045
(410) 651-0300
Mailing address
38229 DUPONT BLVD, SELBYVILLE, DE 19975-3045
(410) 651-0300
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
08/11/2023
Last updated
08/18/2026
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