Organization
MDICS AT SOUTHERN MARYLAND LLC
Active
Parent organization
MDICS MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MDICS MANAGEMENT, LLC
Authorized official
DR. DOUGLAS S MITCHELL MD (MEDICAL DIRECTOR)
(443) 949-0814
Entity
Organization
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(443) 949-0814
(443) 949-0825
Mailing address
6934 AVIATION BLVD, SUITE B, GLEN BURNIE, MD 21061-2593
(443) 949-0814
(443) 949-0825
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D0039037
MD
Other
Enumeration date
06/24/2011
Last updated
10/16/2012
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