# CARROLL HEALTH GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carroll Health Group @ Old Court
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427845635
- **Authorized official:** MICHAEL MYERS (CFO CHC)
- **Authorized official phone:** (410) 871-6114

## Contact information

- **Practice address:** 5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
- **Practice address phone:** (410) 469-4269
- **Mailing address:** PO BOX 45962, BALTIMORE, MD 21297-5962
- **Mailing address phone:** (410) 469-4269
- **Mailing address fax:** (410) 469-4160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2025
- **Last updated:** 04/22/2025