# PHAETON HEALTH GROUP LLC

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

## Provider details

- **NPI number:** 1790291003
- **Authorized official:** MICHAEL WILLIAMS MD (CEO)
- **Authorized official phone:** (443) 410-3325

## Contact information

- **Practice address:** 518 S CAMP MEADE RD STE 1, LINTHICUM HEIGHTS, MD 21090-2766
- **Practice address phone:** (443) 410-3325
- **Practice address fax:** (443) 960-4572
- **Mailing address:** 518 S CAMP MEADE RD STE 1, LINTHICUM HEIGHTS, MD 21090-2766
- **Mailing address phone:** (443) 410-3325
- **Mailing address fax:** (443) 960-4572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0070342 | MD | Yes |
| 2083X0100X | Occupational Medicine Physician | D0078360 | MD | — |

## Other

- **Enumeration date:** 12/21/2017
- **Last updated:** 12/21/2017