Organization
MARYLAND INPATIENT MEDICINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALBOT GREEN MCCORMICK III MD (PRESIDENT - CHIEF OPERATING OFFICER)
(678) 441-8500
Entity
Organization
Contact information
Practice address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(410) 822-1000
(410) 770-3721
Mailing address
PO BOX 96368, OKLAHOMA CITY, OK 73143-6368
(678) 441-8500
(676) 784-4186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356CMA
BCBS
MD
05
—
412823100
—
MD
01
—
DF5634
RR MEDICARE
MD
Enumeration date
05/23/2006
Last updated
07/12/2013
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