| James Family Practice | |
|
350 Mill St Hagerstown MD 21740-6138 | |
| (301) 739-6620 | |
| (301) 739-6628 |
| Full Name | James Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 350 Mill St, Hagerstown, Maryland |
| Authorized Official Name and Position | Stacy C James (OWNER) |
| Authorized Official Contact | 5052505866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Family Practice 350 Mill St Hagerstown MD 21740-6138 Ph: (301) 739-6620 | James Family Practice 350 Mill St Hagerstown MD 21740-6138 Ph: (301) 739-6620 |
| NPI Number | 1104582840 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 01/07/2022 |
| Medicare PECOS PAC ID | 9234521972 |
|---|---|
| Medicare Enrollment ID | O20220110001189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104582840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stacy C James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578163911 PECOS PAC ID: 7911304613 Enrollment ID: I20210922003693 |
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