# MILES RIVER PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILES RIVER PRIMARY CARE LLC
- **Other names:** MR DOCS, Miles River Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699594044
- **Legal business name:** MILES RIVER PRIMARY CARE LLC
- **Authorized official:** MRS. TAMMY SMITH (BUSINESS MANAGER)
- **Authorized official phone:** (410) 822-9133

## Contact information

- **Practice address:** 618 SUNBURST HWY, CAMBRIDGE, MD 21613-2546
- **Practice address phone:** (667) 372-0228
- **Practice address fax:** (410) 822-9513
- **Mailing address:** 618 SUNBURST HWY, CAMBRIDGE, MD 21613-2546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2024
- **Last updated:** 10/03/2024