| Evergreen Adult Medicine | |
|
20 Frederick Rd Thurmont MD 21788-1809 | |
| (301) 979-9636 | |
| (717) 338-9070 |
| Full Name | Evergreen Adult Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 20 Frederick Rd, Thurmont, Maryland |
| Authorized Official Name and Position | Talbot Smith (PRESIDENT) |
| Authorized Official Contact | 3019799636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Adult Medicine 20 Frederick Rd Thurmont MD 21788-1809 Ph: (301) 979-9636 | Evergreen Adult Medicine 20 Frederick Rd Thurmont MD 21788-1809 Ph: (301) 979-9636 |
| NPI Number | 1366497372 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 9537191606 |
|---|---|
| Medicare Enrollment ID | O20050909000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366497372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Talbot Lee Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457328551 PECOS PAC ID: 0345278743 Enrollment ID: I20050909000318 |
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