Organization
CHP MD MEDICAL AFFILIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L CRENSHAW MD (OWNER)
(410) 356-9939
Entity
Organization
Contact information
Practice address
7920 MCDONOGH RD STE 101, OWINGS MILLS, MD 21117-5249
(410) 356-9939
Mailing address
7041 BRIER CREEK CT, LAKEWOOD RANCH, FL 34202-4215
(941) 400-0641
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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