Individual
MEGHAN MARMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-7605
(410) 328-7607
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-7605
(410) 328-7607
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D78056
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494902100
—
MD
01
—
S062-0543
CAREFIRST BC/BS
MD
Enumeration date
03/28/2011
Last updated
09/09/2014
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