| St. Clements Medical Care, Llc | |
|
23130 Moakley St Leonardtown MD 20650-2918 | |
| (301) 997-0611 | |
| (301) 997-0709 |
| Full Name | St. Clements Medical Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 23130 Moakley St, Leonardtown, Maryland |
| Authorized Official Name and Position | Thomas Mccall Wilkinson (OWNER) |
| Authorized Official Contact | 3019970611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Clements Medical Care, Llc 23130 Moakley St Leonardtown MD 20650-2918 Ph: (301) 997-0611 | St. Clements Medical Care, Llc 23130 Moakley St Leonardtown MD 20650-2918 Ph: (301) 997-0611 |
| NPI Number | 1982680641 |
|---|---|
| Provider Enumeration Date | 12/15/2005 |
| Last Update Date | 03/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982680641 | NPI | - | NPPES |
| 511108100 | Medicaid | MD |
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