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Organization
M MEDICAL GROUP, INC.
Active
Organization
M MEDICAL GROUP, INC.
Active
Other names
Autumn Lake Glen Burnie Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE D BROWN (BILLING MANAGER)
(410) 800-6251
Entity
Organization
Contact information
Practice address
7355 E FURNACE BRANCH RD, GLEN BURNIE, MD 21060-7060
(410) 766-3460
Mailing address
7355 E FURNACE BRANCH RD, GLEN BURNIE, MD 21060-7060
(410) 766-3460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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