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Organization
ANTIOCH PRIMARY CARE LLC
Active
Organization
ANTIOCH PRIMARY CARE LLC
Active
Other names
Antioch Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JONITA CONNER MD (PRESIDENT)
(240) 473-1090
Entity
Organization
Contact information
Practice address
4700 BERWYN HOUSE RD, COLLEGE PARK, MD 20740
(240) 473-1090
Mailing address
4700 BERWYN HOUSE RD, COLLEGE PARK, MD 20740
(240) 473-1090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
05/28/2008
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