Premier Medical Group Of Maryland Llc

LBN: Premier Medical Group Of Maryland Llc
Premier Medical Group Of Maryland Llc is an health care organization with primary practice located at 10705 Charter Dr Ste 420 , Columbia MD 21044-2800. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Premier Medical Group Of Maryland Llc can be contacted via phone (410) 709-7432, or through Fakorede, Mary via phone (410) 709-7432.

Contact Information

Primary practice address
10705 Charter Dr Ste 420 Columbia MD 21044-2800
Phone: (410) 709-7432
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fakorede, Mary Doctor of Medicine (MD)
Phone: (410) 709-7432

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1023791605
LBN Legal business name Premier Medical Group Of Maryland Llc
DBA Doing business as
Authorized official Fakorede, Mary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2023
Last updated Aug 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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