| Carrolltowne Medicial Center | |
|
6190 Georgetown Blvd Suite 103 Eldersburg MD 21784-6460 | |
| (410) 549-2000 | |
| (410) 549-2103 |
| Full Name | Carrolltowne Medicial Center |
|---|---|
| Speciality | Family Medicine |
| Location | 6190 Georgetown Blvd, Eldersburg, Maryland |
| Authorized Official Name and Position | Charles B Efird (DIRECTOR) |
| Authorized Official Contact | 4106017019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrolltowne Medicial Center 1380 Progress Way Suite 112 Eldersburg MD 21784-6464 Ph: (410) 549-2000 | Carrolltowne Medicial Center 6190 Georgetown Blvd Suite 103 Eldersburg MD 21784-6460 Ph: (410) 549-2000 |
| NPI Number | 1750696985 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750696985 | NPI | - | NPPES |
| 440067400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30-062 (Maryland) | Primary |
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