Mobile Primary Care | |
4303 Harbour Town Dr Beltsville MD 20705-1078 | |
(240) 389-0227 | |
(833) 992-2121 |
Full Name | Mobile Primary Care |
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Speciality | Clinic/Center |
Location | 4303 Harbour Town Dr, Beltsville, Maryland |
Authorized Official Name and Position | Georgina Johns (NURSE PRACTITIONER) |
Authorized Official Contact | 2403890227 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mobile Primary Care 4303 Harbour Town Dr Beltsville MD 20705-1078 Ph: (240) 389-0227 | Mobile Primary Care 4303 Harbour Town Dr Beltsville MD 20705-1078 Ph: (240) 389-0227 |
NPI Number | 1245813807 |
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Provider Enumeration Date | 05/03/2021 |
Last Update Date | 10/07/2022 |
Medicare PECOS PAC ID | 8224437173 |
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Medicare Enrollment ID | O20210525002573 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245813807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Georgina A Johns |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962701813 PECOS PAC ID: 9739332701 Enrollment ID: I20121227000338 |
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