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Organization
MILES RIVER PRIMARY CARE LLC
Active
Organization
MILES RIVER PRIMARY CARE LLC
Active
Other names
Miles River Physicians, MR Docs
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SMITH (PRACTICE MANAGER)
(410) 770-3206
Entity
Organization
Contact information
Practice address
8579 COMMERCE DR STE 104, EASTON, MD 21601-7420
(410) 822-9133
(410) 822-9513
Mailing address
8579 COMMERCE DR STE 104, EASTON, MD 21601-7420
(410) 822-9133
(410) 822-9513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
06/10/2010
Last updated
05/22/2024
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