Organization
MAGNOLIA URGENT AND PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAITH RODEHEAVER CRNP (OWNER)
(301) 616-3427
Entity
Organization
Contact information
Practice address
121 EAST FIRST AVENUE, LOCH LYNN, MD 21550
(301) 616-3427
Mailing address
3506 GARRETT HWY, OAKLAND, MD 21550-2327
(301) 616-3427
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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