Organization
M MEDICAL GROUP, INC.
Active
Other names
Autumn Lake Patuxent River Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE D BROWN (BILLING MANAGER)
(410) 800-6251
Entity
Organization
Contact information
Practice address
14200 LAUREL PARK DR, LAUREL, MD 20707-5201
(410) 792-4717
Mailing address
14200 LAUREL PARK DR, LAUREL, MD 20707-5201
(410) 792-4717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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