| Temah Family Practice | |
|
5310 Old Court Rd Ste 303 Randallstown MD 21133-6202 | |
| (410) 521-8000 | |
| Not Available |
| Full Name | Temah Family Practice |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5310 Old Court Rd Ste 303, Randallstown, Maryland |
| Authorized Official Name and Position | Temitope S Williams (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4105218000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temah Family Practice 4320 Brookside Oaks Owings Mills MD 21117-5169 Ph: (443) 803-1295 | Temah Family Practice 5310 Old Court Rd Ste 303 Randallstown MD 21133-6202 Ph: (410) 521-8000 |
| NPI Number | 1942841838 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942841838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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