Organization
MERIDIAN PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FIELDS (CLIENT SERVICE MANAGER)
(410) 398-3868
Entity
Organization
Contact information
Practice address
138 CATHEDRAL ST, ELKTON, MD 21921-5562
(410) 398-3041
Mailing address
PO BOX 190, ELKTON, MD 21922-0190
(410) 398-3868
(410) 392-9289
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG1010
MEDICARE RAILROAD GROUP
MD
Enumeration date
05/16/2007
Last updated
05/05/2008
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