Organization
CHARLES COUNTY DEPARTMENT OF HEALTH
Active
Other names
Western County Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L MURPHY (DIRECTOR OF ADMINSTRATION)
(301) 609-6906
Entity
Organization
Contact information
Practice address
4375 PORT TOBACCO RD, NANJEMOY, MD 20662-3345
(301) 609-6906
Mailing address
PO BOX 1050, WHITE PLAINS, MD 20695-1050
(301) 609-6906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420862500
—
MD
Enumeration date
12/09/2013
Last updated
07/22/2014
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