| Primary Healthcare Services Llc | |
|
8115 Maple Lawn Blvd Ste 350 Fulton MD 20759-2683 | |
| (443) 986-2279 | |
| Not Available |
| Full Name | Primary Healthcare Services Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 8115 Maple Lawn Blvd Ste 350, Fulton, Maryland |
| Authorized Official Name and Position | Tashana Johnson (NURSE PRACTITIONER) |
| Authorized Official Contact | 4439862279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Healthcare Services Llc 7715 Alastor Ct Elkridge MD 21075-8157 Ph: () - | Primary Healthcare Services Llc 8115 Maple Lawn Blvd Ste 350 Fulton MD 20759-2683 Ph: (443) 986-2279 |
| NPI Number | 1215494844 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 03/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215494844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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