| Phaeton Health Group Llc | |
|
518 S Camp Meade Rd Ste 1 Linthicum Heights MD 21090-2766 | |
| (443) 410-3325 | |
| (443) 960-4572 |
| Full Name | Phaeton Health Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 518 S Camp Meade Rd Ste 1, Linthicum Heights, Maryland |
| Authorized Official Name and Position | Michael Williams (CEO) |
| Authorized Official Contact | 4434103325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phaeton Health Group Llc 518 S Camp Meade Rd Ste 1 Linthicum Heights MD 21090-2766 Ph: (443) 410-3325 | Phaeton Health Group Llc 518 S Camp Meade Rd Ste 1 Linthicum Heights MD 21090-2766 Ph: (443) 410-3325 |
| NPI Number | 1790291003 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 12/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790291003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0070342 (Maryland) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | D0078360 (Maryland) | Secondary |
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