Ronald Gray Medlin, Institute Of Life And Health | |
5311 Water St Suite D Upper Marlboro MD 20772-3056 | |
(301) 627-3007 | |
Not Available |
Full Name | Ronald Gray Medlin, Institute Of Life And Health |
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Speciality | Psychologist - Addiction (substance Use Disorder) |
Location | 5311 Water St, Upper Marlboro, Maryland |
Authorized Official Name and Position | Ronald Gray Medlin (OWNER,PROGRAM DIRECTOR) |
Authorized Official Contact | 3016273007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ronald Gray Medlin, Institute Of Life And Health 5311 Water St Suite D Upper Marlboro MD 20772-3056 Ph: (301) 627-3007 | Ronald Gray Medlin, Institute Of Life And Health 5311 Water St Suite D Upper Marlboro MD 20772-3056 Ph: (301) 627-3007 |
NPI Number | 1437375615 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 03/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437375615 | NPI | - | NPPES |
GQ24RC | Other | MD | BLUECROSS BLUESHIELD |
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