Organization
PREMIERE CHILDRENS PHYSICANS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESTER BYRON HORRELL MD (OWNER/PHYSICIAN)
(410) 398-5930
Entity
Organization
Contact information
Practice address
701 N BRIDGE ST, SUITE 104, NORTHSIDE PLAZA, ELKTON, MD 21921-5309
(410) 398-5930
(410) 398-0165
Mailing address
719 NORTH BRIDGE STREET, ELKTON, MD 21921
(410) 398-5930
(410) 398-0165
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0056952
MD
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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