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Organization

FAMILY MEDICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROCHELLE P DYER C.R.N.P. (OWNER)
(410) 489-4927
Entity
Organization

Contact information

Practice address
1502 S MAIN ST, SUITE 104, MOUNT AIRY, MD 21771-5325
(410) 489-4927
(301) 829-7907
Mailing address
1502 S MAIN ST, SUITE 104, MOUNT AIRY, MD 21771-5325
(410) 489-4927
(301) 829-7907

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
07/25/2007
Last updated
06/10/2011
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