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Organization
FAMILY MEDICAL
Active
Organization
FAMILY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE DYER (CRNP OWNER)
(410) 489-4927
Entity
Organization
Contact information
Practice address
1502 S MAIN ST STE 104, MOUNT AIRY, MD 21771-5374
(410) 489-4927
Mailing address
1502 S MAIN ST STE 104, MOUNT AIRY, MD 21771-5374
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
R089671
MD
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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