State Of The Body Llc | |
1133 Wedgewood Rd Baltimore MD 21229-1247 | |
(919) 880-8115 | |
Not Available |
Full Name | State Of The Body Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1133 Wedgewood Rd, Baltimore, Maryland |
Authorized Official Name and Position | Eboni Mccoy (PRESIDENT) |
Authorized Official Contact | 9198808115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
State Of The Body Llc 1133 Wedgewood Rd Baltimore MD 21229-1247 Ph: (919) 880-8115 | State Of The Body Llc 1133 Wedgewood Rd Baltimore MD 21229-1247 Ph: (919) 880-8115 |
NPI Number | 1194541292 |
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Provider Enumeration Date | 11/23/2024 |
Last Update Date | 11/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194541292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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