| Potomac Family Medicine | |
|
13424 Pennsylvania Ave Suite 101 Hagerstown MD 21742 | |
| (301) 791-7900 | |
| (301) 791-3686 |
| Full Name | Potomac Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 13424 Pennsylvania Ave, Hagerstown, Maryland |
| Authorized Official Name and Position | Deborah R Lee (PRACTICE MANAGER) |
| Authorized Official Contact | 3017917900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Family Medicine 1324 Pennsylvania Ave Suite 101 Hagerstown MD 21742 Ph: (301) 791-7900 | Potomac Family Medicine 13424 Pennsylvania Ave Suite 101 Hagerstown MD 21742 Ph: (301) 791-7900 |
| NPI Number | 1255336483 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255336483 | NPI | - | NPPES |
| S328 | Other | MD | BLUECROSS/BLUESHIELD |
| 599121800 | Medicaid | MD | |
| 202589 | Other | MD | FEDERAL BLACK LUNG PROGRA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | NOT APPLICABLE (Maryland) | Primary |
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