Organization
PREMIER HEALTH CARE LLC
Active
Other names
Premier Health Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA ALICIA DOCKERY (BILLING MANAGER)
(240) 318-5731
Entity
Organization
Contact information
Practice address
8023 MALCOLM RD, CLINTON, MD 20735-1717
(240) 318-5731
(240) 318-5850
Mailing address
8023 MALCOLM RD, CLINTON, MD 20735-1717
(240) 318-5731
(240) 318-5850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841013500
—
MD
Enumeration date
11/30/2018
Last updated
11/30/2018
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