# MMG - GEORGETOWN FAMILY PRACTICE LLC

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

## Provider details

- **NPI number:** 1922395581
- **Authorized official:** MS. STEPHANIE SCHNEIDER (VICE PRESIDENT)
- **Authorized official phone:** (703) 558-1403

## Contact information

- **Practice address:** 4910 MASSACHUSETTS AVE NW, SUITE 115, WASHINGTON, DC 20016-4300
- **Practice address phone:** (202) 237-0015
- **Practice address fax:** (202) 237-0076
- **Mailing address:** PO BOX 418681, BOSTON, MA 02241-8681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 03/28/2024