| Mid Atlantic Medical Management , Llc | |
|
3050 Crain Hwy Ste 101a Waldorf MD 20601-2823 | |
| (240) 754-7130 | |
| Not Available |
| Full Name | Mid Atlantic Medical Management , Llc |
|---|---|
| Speciality | General Practice |
| Location | 3050 Crain Hwy Ste 101a, Waldorf, Maryland |
| Authorized Official Name and Position | Atlee T Wampler Iv (CEO/OWNER) |
| Authorized Official Contact | 6785246828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Atlantic Medical Management , Llc Po Box 566455 Atlanta GA 31156-6455 Ph: (770) 504-5162 | Mid Atlantic Medical Management , Llc 3050 Crain Hwy Ste 101a Waldorf MD 20601-2823 Ph: (240) 754-7130 |
| NPI Number | 1568904712 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568904712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D0068492 (Maryland) | Primary |
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