Organization
M MANAGEMENT GROUP LLC
Active
Organization
M MANAGEMENT GROUP LLC
Active
Other names
AUTUMAN LAKE GLEN BURNIE
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE D BROWN (BILLING MANAGER)
(410) 800-6251
Entity
Organization
Contact information
Practice address
7355 E FURNACE BRANCH RD, GLEN BURNIE, MD 21060-7060
(410) 766-3460
Mailing address
4806 U ST NW, WASHINGTON, DC 20007-1546
(202) 543-4800
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/20/2025
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