# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANNE ARUNDEL PHYSICIAN GROUP LLC
- **Other names:** SOUTH RIVER FAMILY MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699742874
- **Legal business name:** ANNE ARUNDEL PHYSICIAN GROUP LLC
- **Authorized official:** MELISSA RAPATTONI (AO)
- **Authorized official phone:** (443) 481-5136

## Contact information

- **Practice address:** 3169 BRAVERTON ST, SUITE 201, EDGEWATER, MD 21037-2679
- **Practice address phone:** (410) 956-4911
- **Practice address fax:** (410) 956-4935
- **Mailing address:** 2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
- **Mailing address phone:** (443) 481-5136
- **Mailing address fax:** (443) 481-6515

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 11/05/2024