Organization
MILES RIVER PRIMARY CARE LLC
Active
Other names
Miles River Physicians, MR Docs
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SMITH (PRACTICE MANAGER)
(410) 770-3206
Entity
Organization
Contact information
Practice address
8579 COMMERCE DR STE 104, EASTON, MD 21601-7420
(410) 822-9133
(410) 822-9513
Mailing address
8579 COMMERCE DR STE 104, EASTON, MD 21601-7420
(410) 822-9133
(410) 822-9513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/10/2010
Last updated
05/22/2024
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