| Premier Health Care Llc | |
|
8023 Malcolm Rd Clinton MD 20735-1717 | |
| (240) 318-5731 | |
| (240) 318-5850 |
| Full Name | Premier Health Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8023 Malcolm Rd, Clinton, Maryland |
| Authorized Official Name and Position | Tonya Alicia Dockery (BILLING MANAGER) |
| Authorized Official Contact | 2403185731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Care Llc 8023 Malcolm Rd Clinton MD 20735-1717 Ph: (240) 318-5731 | Premier Health Care Llc 8023 Malcolm Rd Clinton MD 20735-1717 Ph: (240) 318-5731 |
| NPI Number | 1528538758 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528538758 | NPI | - | NPPES |
| 841013500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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