# PREMISE HEALTH OF MARYLAND MEDICAL P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Center Williamsport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578262143
- **Authorized official:** WILLIAM WRIGHT (LEGAL COUNSEL)
- **Authorized official phone:** (615) 577-5893

## Contact information

- **Practice address:** 16305 ELLIOTT PARKWAY, WILLIAMSPORT, MD 21795
- **Practice address phone:** (240) 313-3818
- **Practice address fax:** (240) 673-3823
- **Mailing address:** 5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2023
- **Last updated:** 03/02/2023