# MILES RIVER PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miles River Physicians, MR Docs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891015012
- **Authorized official:** TAMMY SMITH (PRACTICE MANAGER)
- **Authorized official phone:** (410) 770-3206

## Contact information

- **Practice address:** 8579 COMMERCE DR STE 104, EASTON, MD 21601-7420
- **Practice address phone:** (410) 822-9133
- **Practice address fax:** (410) 822-9513
- **Mailing address:** 8579 COMMERCE DR STE 104, EASTON, MD 21601-7420
- **Mailing address phone:** (410) 822-9133
- **Mailing address fax:** (410) 822-9513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 05/22/2024