# PHMG ANNVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PinnacleHealth Annville Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467859363
- **Authorized official:** MR. CHRISTOPHER P MARKLEY (SENIOR VP)
- **Authorized official phone:** (717) 231-8210

## Contact information

- **Practice address:** 475 N WEABER ST, ANNVILLE, PA 17003-1104
- **Practice address phone:** (717) 867-4671
- **Practice address fax:** (717) 867-4981
- **Mailing address:** 307 S FRONT ST, 1ST FLOOR, HARRISBURG, PA 17104-1621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/21/2014
- **Last updated:** 01/06/2015