| Magellan Healthcare Provider Group, Inc. | |
|
6950 Columbia Gateway Dr Columbia MD 21046-2706 | |
| (410) 953-4702 | |
| Not Available |
| Full Name | Magellan Healthcare Provider Group, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6950 Columbia Gateway Dr, Columbia, Maryland |
| Authorized Official Name and Position | Andrew Cummings (ATTORNEY) |
| Authorized Official Contact | 2129432852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magellan Healthcare Provider Group, Inc. 6950 Columbia Gateway Dr Columbia MD 21046-2706 Ph: () - | Magellan Healthcare Provider Group, Inc. 6950 Columbia Gateway Dr Columbia MD 21046-2706 Ph: (410) 953-4702 |
| NPI Number | 1346642303 |
|---|---|
| Provider Enumeration Date | 09/22/2014 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346642303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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