# LANDMARK MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1538134747
- **Authorized official:** DR. CLARENCE SMITH JR. M.D. (PRESIDENT)
- **Authorized official phone:** (410) 638-5101

## Contact information

- **Practice address:** 615 W MACPHAIL RD, SUITE 206, BEL AIR, MD 21014-4309
- **Practice address phone:** (410) 638-5101
- **Practice address fax:** (410) 638-6854
- **Mailing address:** PO BOX 667, BEL AIR, MD 21014-0667
- **Mailing address phone:** (410) 638-5101
- **Mailing address fax:** (410) 638-6854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MD | — |
| 207R00000X | Internal Medicine Physician | — | MD | Yes |
| 208000000X | Pediatrics Physician | — | MD | — |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 10/22/2015