| Evergreen Health Care | |
|
9710 Patuxent Woods Dr Suite 200 Columbia MD 21046-1526 | |
| (301) 575-8080 | |
| Not Available |
| Full Name | Evergreen Health Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9710 Patuxent Woods Dr, Columbia, Maryland |
| Authorized Official Name and Position | Elizabeth Burger (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4434513873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Health Care 9710 Patuxent Woods Dr Suite 200 Columbia MD 21046-1526 Ph: (301) 575-8080 | Evergreen Health Care 9710 Patuxent Woods Dr Suite 200 Columbia MD 21046-1526 Ph: (301) 575-8080 |
| NPI Number | 1720520810 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720520810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 22259 (Maryland) | Primary |
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