| Randallstown Primary Care, Llc | |
|
5400 Old Court Rd Suite 204 Randallstown MD 21133-5100 | |
| (410) 521-4211 | |
| Not Available |
| Full Name | Randallstown Primary Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5400 Old Court Rd, Randallstown, Maryland |
| Authorized Official Name and Position | Christopher Davey (MANAGING MEMBER) |
| Authorized Official Contact | 4105214211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randallstown Primary Care, Llc 5400 Old Court Rd Suite 204 Randallstown MD 21133-5100 Ph: (410) 521-4211 | Randallstown Primary Care, Llc 5400 Old Court Rd Suite 204 Randallstown MD 21133-5100 Ph: (410) 521-4211 |
| NPI Number | 1861689150 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861689150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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