# M. MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M. Medical Group BW Annapolis ALF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962259408
- **Authorized official:** KRYSTLE D BROWN (BILLING MANAGER)
- **Authorized official phone:** (410) 870-9380

## Contact information

- **Practice address:** 7101 BAY FRONT DR, ANNAPOLIS, MD 21403-3622
- **Practice address phone:** (410) 268-9222
- **Mailing address:** PO BOX 931343, ATLANTA, GA 31193-1343
- **Mailing address phone:** (410) 870-9380

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2024
- **Last updated:** 05/02/2024