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Organization
STATCARE GROUP II, PC
Active
Organization
STATCARE GROUP II, PC
Active
Other names
ChoiceOne Urgent Care II
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE ANGELA CARTER (CREDENTIALING & PROVIDER ENROLLMENT)
(410) 296-7190
Entity
Organization
Contact information
Practice address
2315 BEL AIR RD, FALLSTON, MD 21047-2740
(410) 296-7190
(410) 296-0344
Mailing address
1400 FRONT AVE, SUITE 300, LUTHERVILLE, MD 21093-5300
(410) 296-7190
(410) 296-0344
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
H0062737
MD
Other
Enumeration date
12/23/2015
Last updated
07/07/2020
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