| Charelne A. Letchford Md Pa | |
|
115 La Grange Ave Suite 101 La Plata MD 20646-9592 | |
| (301) 392-1935 | |
| (301) 392-1936 |
| Full Name | Charelne A. Letchford Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 La Grange Ave, La Plata, Maryland |
| Authorized Official Name and Position | Charlene Letchford (OWNER) |
| Authorized Official Contact | 3013921935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charelne A. Letchford Md Pa 115 La Grange Ave Suite 101 La Plata MD 20646-9592 Ph: (301) 392-1935 | Charelne A. Letchford Md Pa 115 La Grange Ave Suite 101 La Plata MD 20646-9592 Ph: (301) 392-1935 |
| NPI Number | 1053550517 |
|---|---|
| Provider Enumeration Date | 02/06/2009 |
| Last Update Date | 04/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053550517 | NPI | - | NPPES |
| 229251300 | Medicaid | MD | |
| 110163418 | Other | MD | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D46419 (Maryland) | Primary |
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Mdics Rehabilitative Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 Laplata Rd, La Plata, MD 20646 Phone: 301-934-1900 | |
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