| J. Elizabeth Dennis Md., Pa | |
|
10806 Hickory Ridge Rd Columbia MD 21044-3622 | |
| (410) 715-9990 | |
| (410) 715-9993 |
| Full Name | J. Elizabeth Dennis Md., Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10806 Hickory Ridge Rd, Columbia, Maryland |
| Authorized Official Name and Position | Josephine Elizabeth Dennis (PRESIDENT/OWNER) |
| Authorized Official Contact | 4107159990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Elizabeth Dennis Md., Pa Po Box 1237 Columbia MD 21044-0237 Ph: (410) 715-9990 | J. Elizabeth Dennis Md., Pa 10806 Hickory Ridge Rd Columbia MD 21044-3622 Ph: (410) 715-9990 |
| NPI Number | 1619169216 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619169216 | NPI | - | NPPES |
| 593431100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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