Organization
AGAS MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY A. ANDERSON M. D. (PHYSICIAN)
(301) 483-7999
Entity
Organization
Contact information
Practice address
9811 MALLARD DR, SUITE # 213, LAUREL, MD 20708-3143
(301) 604-0562
(240) 840-9533
Mailing address
9811 MALLARD DR, SUITE # 213, LAUREL, MD 20708-3143
(301) 604-0562
(240) 840-9533
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0034747
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010167200
—
MD
Enumeration date
03/19/2013
Last updated
03/19/2013
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