Organization
MID ATLANTIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (VP IPM)
(610) 768-3300
Entity
Organization
Contact information
Practice address
2228 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5700
(202) 964-4727
(202) 902-2238
Mailing address
PO BOX 746004, ATLANTA, GA 30374-6004
(484) 250-8475
(484) 913-7587
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/23/2023
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