Organization
A G MEDICAL, LLC
Active
Other names
Golden Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY GOLDEN FNP-BC (OWNER)
(304) 813-4111
Entity
Organization
Contact information
Practice address
915 SETON DR, CUMBERLAND, MD 21502-1817
(240) 503-1500
(240) 503-1501
Mailing address
915 SETON DR, CUMBERLAND, MD 21502-1817
(240) 503-1500
(240) 503-1501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125430800
—
MD
01
—
1639500598
TYPE I NPI
—
Enumeration date
05/19/2020
Last updated
10/30/2023
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