Organization
VILLAGE GREEN PRIMARY CARE, LLC
Active
Other names
Crofton Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON N WILLIAMS MD (OWNER EMPLOYEE)
(410) 721-3822
Entity
Organization
Contact information
Practice address
1684 VILLAGE GRN LOWR LEVEL, CROFTON, MD 21114-2059
(410) 721-3822
(410) 451-0960
Mailing address
1684 VILLAGE GRN LOWR LEVEL, CROFTON, MD 21114-2059
(410) 721-3822
(410) 451-0960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0061041
MD
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1455745077
NPI
MD
Enumeration date
11/06/2017
Last updated
12/03/2024
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