# GI ASSOCIATES OF MARYLAND

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

## Provider details

- **NPI number:** 1982049193
- **Authorized official:** LEGINA MICHELLE GRAY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (301) 645-8035

## Contact information

- **Practice address:** 101 CENTENNIAL ST, SUITE B, LA PLATA, MD 20646-5975
- **Practice address phone:** (301) 934-4521
- **Practice address fax:** (301) 934-4523
- **Mailing address:** 3510 OLD WASHINGTON RD STE 201, WALDORF, MD 20602-3235
- **Mailing address phone:** (301) 645-8035
- **Mailing address fax:** (301) 645-5229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2013
- **Last updated:** 02/07/2018