# ADVANCED MEDICAL GROUP PA

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

## Provider details

- **NPI number:** 1265821342
- **Authorized official:** ALI ABDEL-TAWAB AMIN EL-MOHANDES MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (301) 665-9696

## Contact information

- **Practice address:** 6 REGIONAL DR, SUITE B, PINEHURST, NC 28374-8850
- **Practice address phone:** (910) 420-2405
- **Mailing address:** 11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 21031-8850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2015
- **Last updated:** 11/12/2020