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21 Crossroads Dr Suite 400 Owings Mills MD 21117-5441 | |
| (410) 998-9100 | |
| (410) 998-9104 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 Crossroads Dr, Owings Mills, 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 |
|---|---|
2401 W Belvedere Ave Credentialing Baltimore MD 21215-5216 Ph: (410) 601-5523 | 21 Crossroads Dr Suite 400 Owings Mills MD 21117-5441 Ph: (410) 998-9100 |
| NPI Number | 1205062767 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205062767 | NPI | - | NPPES |
| 382301600 | Medicaid | MD | |
| C31152 | Other | MD | R/R MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30-062 (Maryland) | Primary |
Baltimore Suburban Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10085 Red Run Blvd Ste 306, Owings Mills, MD 21117 Phone: 410-653-0000 Fax: 410-653-5531 | |
Lifebridge Community Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Crossroads Dr Ste 340, Owings Mills, MD 21117 Phone: 410-653-0366 Fax: 410-601-4759 | |
Ez Health Care Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Painters Mill Rd Ste 106, Owings Mills, MD 21117 Phone: 240-552-0267 | |
Kingdom Medicine Administrative Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Painters Mill Rd Ste 205, Owings Mills, MD 21117 Phone: 410-907-1565 Fax: 443-445-4111 | |
Camelle Redding, Crnp,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9902 Linden Hill Rd Ste B, Owings Mills, MD 21117 Phone: 443-776-2583 Fax: 347-851-8731 |