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Organization
PHAETON HEALTH GROUP LLC
Active
Organization
PHAETON HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILLIAMS MD (CEO)
(443) 410-3325
Entity
Organization
Contact information
Practice address
518 S CAMP MEADE RD STE 1, LINTHICUM HEIGHTS, MD 21090-2766
(443) 410-3325
(443) 960-4572
Mailing address
518 S CAMP MEADE RD STE 1, LINTHICUM HEIGHTS, MD 21090-2766
(443) 410-3325
(443) 960-4572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0070342
MD
2083X0100X
Occupational Medicine Physician
D0078360
MD
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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