Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Premier OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE WOOD (EXEC. DIR. PHYSICIAN REIMBURSEMENT)
(443) 481-6476
Entity
Organization
Contact information
Practice address
2000 MEDICAL PKWY STE 309, ANNAPOLIS, MD 21401-3745
(301) 352-4007
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6467
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
05/24/2021
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