<unavail> in Columbia, MD

is a primary clinic (Clinic/center - Multi-specialty) in Columbia, Maryland. The current practice location for is 12114 Blue Flag Way, Columbia, Maryland. For appointments, you can reach them via phone at (301) 741-0307. The mailing address for is 12114 Blue Flag Way, Columbia, Maryland and phone number is (301) 741-0307.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1124704085. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (301) 741-0307.

Contact Information


	12114 Blue Flag Way Columbia MD 21044
	(301) 741-0307
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Multi-specialty
Location	12114 Blue Flag Way, Columbia, Maryland
Authorized Official Name and Position	Kondi Walterssmith (CEO/ NURSE PRACTITIONER)
Authorized Official Contact	3017410307
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
12114 Blue Flag Way Columbia MD 21044 Ph: (301) 741-0307	12114 Blue Flag Way Columbia MD 21044 Ph: (301) 741-0307

NPI Details:

NPI Number	1124704085
Provider Enumeration Date	06/26/2023
Last Update Date	12/06/2023

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124704085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary
261QR0800X	Clinic/center - Recovery Care	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Columbia, MD

Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292
Lorien Dialysis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500
Premier Medical Group Of Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 420, Columbia, MD 21044 Phone: 410-709-7432
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046 Phone: 301-575-8080
University Of Maryland Physicians, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5890 Waterloo Rd, Columbia, MD 21045 Phone: 410-667-2142 Fax: 410-799-9097
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9650 Santiago Rd, Suite #110, Columbia, MD 21045 Phone: 410-992-7004 Fax: 410-992-1657
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8600 Snowden River Pkwy Ste 207, Columbia, MD 21045 Phone: 301-515-2901

- Primary Care in Columbia, MD