# MERIDIAN PRIMARY CARE LLC

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

## Provider details

- **NPI number:** 1689881120
- **Authorized official:** LISA FIELDS (CLIENT SERVICE MANAGER)
- **Authorized official phone:** (410) 398-3868

## Contact information

- **Practice address:** 138 CATHEDRAL ST, ELKTON, MD 21921-5562
- **Practice address phone:** (410) 398-3041
- **Mailing address:** PO BOX 190, ELKTON, MD 21922-0190
- **Mailing address phone:** (410) 398-3868
- **Mailing address fax:** (410) 392-9289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 05/05/2008
