# TOTAL WELLNESS MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1740732262
- **Authorized official:** MIRIAM D MARTIN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (301) 808-0341

## Contact information

- **Practice address:** 4000 MITCHEVILLE ROAD, B322, BOWIE, MD 20716-0000
- **Practice address phone:** (301) 808-0341
- **Practice address fax:** (301) 263-6860
- **Mailing address:** 4000 MITCHEVILLE ROAD, B322, BOWIE, MD 20716-0000
- **Mailing address phone:** (301) 808-0341
- **Mailing address fax:** (301) 263-6860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | D0040898 | MD | Yes |

## Other

- **Enumeration date:** 11/01/2016
- **Last updated:** 03/10/2017
