Organization
TOTAL WELLNESS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM D MARTIN M.D. (MEDICAL DIRECTOR)
(301) 808-0341
Entity
Organization
Contact information
Practice address
4000 MITCHEVILLE ROAD, B322, BOWIE, MD 20716-0000
(301) 808-0341
(301) 263-6860
Mailing address
4000 MITCHEVILLE ROAD, B322, BOWIE, MD 20716-0000
(301) 808-0341
(301) 263-6860
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
D0040898
MD
Other
Enumeration date
11/01/2016
Last updated
03/10/2017
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