Organization
CARROLL MEDICAL GROUP
Active
Organization
CARROLL MEDICAL GROUP
Active
Other names
LifeBridge Community Physician
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ANN BARRETT MA (OFFICE MANAGER)
(410) 374-9391
Entity
Organization
Contact information
Practice address
4231 N WOODS TRL, HAMPSTEAD, MD 21074-3128
(410) 374-9391
(410) 374-1866
Mailing address
4231 N WOODS TRL, HAMPSTEAD, MD 21074-3128
(410) 374-9391
(410) 374-1866
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0005012
LICENSE
MD
Enumeration date
03/14/2013
Last updated
03/14/2013
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