Organization
GI ASSOCIATES OF MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEGINA MICHELLE GRAY (PRACTICE ADMINISTRATOR)
(301) 645-8035
Entity
Organization
Contact information
Practice address
101 CENTENNIAL ST, SUITE B, LA PLATA, MD 20646-5975
(301) 934-4521
(301) 934-4523
Mailing address
3510 OLD WASHINGTON RD STE 201, WALDORF, MD 20602-3235
(301) 645-8035
(301) 645-5229
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
02/07/2018
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