| Frederick Health Medical Group Llc | |
|
1562 Opossumtown Pike Frederick MD 21702-4920 | |
| (240) 215-6310 | |
| Not Available |
| Full Name | Frederick Health Medical Group Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1562 Opossumtown Pike, Frederick, Maryland |
| Authorized Official Name and Position | Shelby Boggs (AVP) |
| Authorized Official Contact | 2403153423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Health Medical Group Llc 400 W 7th St Frederick MD 21701-4506 Ph: () - | Frederick Health Medical Group Llc 1562 Opossumtown Pike Frederick MD 21702-4920 Ph: (240) 215-6310 |
| NPI Number | 1912738923 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912738923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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