| Ethos Health Maryland 1 Llc | |
|
4940 Campbell Blvd Ste 130 Nottingham MD 21236-5910 | |
| (410) 870-6498 | |
| (410) 870-6555 |
| Full Name | Ethos Health Maryland 1 Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4940 Campbell Blvd Ste 130, Nottingham, Maryland |
| Authorized Official Name and Position | Jonathan Ray Walker (OWNER) |
| Authorized Official Contact | 3527325590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Health Maryland 1 Llc 1541 Se 17th St Ocala FL 34471-4607 Ph: (352) 732-5590 | Ethos Health Maryland 1 Llc 4940 Campbell Blvd Ste 130 Nottingham MD 21236-5910 Ph: (410) 870-6498 |
| NPI Number | 1144888025 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144888025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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