Individual
MARY L FLEURY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
305 10TH ST, SUITE 101, POCOMOKE, MD 21851-1607
(410) 957-3005
(410) 957-0550
Mailing address
305 10TH ST, SUITE 101, POCOMOKE, MD 21851-1607
(410) 957-3005
(410) 957-0550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D24871
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111724
COVENTRY PROVIDER NO.
MD
01
—
114099
ANTHEM PROVIDER NO.
VA
01
—
41361804
PROVIDER NO.
MD
01
—
852693
MAMSI PROVIDER NO.
MD
01
—
F094 0002
PROVIDER NO.
MD
Enumeration date
03/20/2006
Last updated
07/08/2007
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