Organization
FNP-BC VIP CONCIERGE, LLC
Active
Other names
Graham Medical Group, NP-VIP Concierge Svc, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE DEVON GRAHAM NP (CHIEF EXECUTIVE OFFICER)
(240) 210-5520
Entity
Organization
Contact information
Practice address
6178 OXON HILL RD STE 300, OXON HILL, MD 20745-3123
(240) 547-9114
(240) 209-0570
Mailing address
8507 OXON HILL RD STE 200-S49, FORT WASHINGTON, MD 20744-4766
(240) 547-9114
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073965380
—
MD
Enumeration date
12/10/2018
Last updated
03/06/2020
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