| Mill Street Medical Group Llc | |
|
340 Mill St Hagerstown MD 21740-6138 | |
| (301) 739-7100 | |
| (301) 498-1439 |
| Full Name | Mill Street Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 340 Mill St, Hagerstown, Maryland |
| Authorized Official Name and Position | Malena Jean-smith (ADMINISTRATOR) |
| Authorized Official Contact | 3017559488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Street Medical Group Llc 340 Mill St Hagerstown MD 21740-6138 Ph: (301) 739-7100 | Mill Street Medical Group Llc 340 Mill St Hagerstown MD 21740-6138 Ph: (301) 739-7100 |
| NPI Number | 1134508450 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134508450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0018019 (Maryland) | Primary |
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