# M MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crescent Cities SNF LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801602008
- **Authorized official:** KRYSTLE D BROWN (BILLING MANAGER)
- **Authorized official phone:** (410) 800-6251

## Contact information

- **Practice address:** 4409 E WEST HWY, RIVERDALE, MD 20737-1058
- **Practice address phone:** (301) 699-2000
- **Mailing address:** 4409 E WEST HWY, RIVERDALE, MD 20737-1058
- **Mailing address phone:** (301) 699-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 12/04/2024