# WASHINGTON MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Washington Medical Clinic, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427444108
- **Authorized official:** MRS. ELIZABETH N. OBI NURSE PRACTITIONER (PRESIDENT /OWNER)
- **Authorized official phone:** (301) 908-2116

## Contact information

- **Practice address:** 12510 PROSPERITY DR, SUITE \# 320, SILVER SPRING, MD 20904-1663
- **Practice address phone:** (301) 755-3380
- **Practice address fax:** (866) 596-1084
- **Mailing address:** 12515 OLD GUNPOWDER RD, BELTSVILLE, MD 20705-1151
- **Mailing address phone:** (301) 908-2116
- **Mailing address fax:** (866) 596-1084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R142632 | MD | Yes |

## Other

- **Enumeration date:** 04/09/2015
- **Last updated:** 04/09/2015