Organization
PELICAN MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY BLOCKSTON (DIRECTOR)
(410) 303-9923
Entity
Organization
Contact information
Practice address
3706 CRONDALL LN STE 105B, OWINGS MILLS, MD 21117-2243
(410) 303-9923
Mailing address
10019 REISTERSTOWN RD STE 203, OWINGS MILLS, MD 21117-3950
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
02/18/2021
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