Organization
SAILWINDS MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MCMULLEN PA-C (PRESIDENT)
(443) 521-6638
Entity
Organization
Contact information
Practice address
6640 FRIENDSHIP RD, PITTSVILLE, MD 21850-2045
(443) 521-6638
Mailing address
6640 FRIENDSHIP RD, PITTSVILLE, MD 21850-2045
(443) 521-6638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04697
MD STATE LICENSE
MD
Enumeration date
10/21/2022
Last updated
09/29/2023
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