# MID ATLANTIC PRIMARY CARE

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

## Provider details

- **NPI number:** 1790257855
- **Authorized official:** DR. TRACI CHURCH DNP (OWNER)
- **Authorized official phone:** (410) 713-8804

## Contact information

- **Practice address:** 1322 BELMONT AVE STE 201, SALISBURY, MD 21804-4593
- **Practice address phone:** (410) 749-6833
- **Practice address fax:** (410) 749-5139
- **Mailing address:** 1322 BELMONT AVE STE 201, SALISBURY, MD 21804-4593
- **Mailing address phone:** (410) 749-6833
- **Mailing address fax:** (410) 749-5139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2018
- **Last updated:** 12/17/2025