# LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carroll Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811398175
- **Authorized official:** MARY WRIGHT-SISK (DIRECTOR)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 4231 N WOODS TRL STE 100, HAMPSTEAD, MD 21074-3204
- **Practice address phone:** (410) 374-9391
- **Practice address fax:** (410) 374-1866
- **Mailing address:** 4231 N WOODS TRL STE 100, HAMPSTEAD, MD 21074-3204
- **Mailing address phone:** (410) 374-9391
- **Mailing address fax:** (410) 374-1866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MD | Yes |

## Other

- **Enumeration date:** 09/05/2014
- **Last updated:** 11/20/2025