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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH RIVER PRIMARY CARE LLC

Active Organization

SOUTH RIVER PRIMARY CARE LLC is a Family Medicine organization located in EDGEWATER, Maryland. NPI 1154548303 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · EDGEWATER, MD

Registration Details

NPI Number
1154548303
Provider Type
Organization
NPI Issued
Apr 19, 2007 (19.312648722026 yrs)
Last Updated
Jul 29, 2009
License
H0056281 (MD)

Practice Information

Address
3168 BRAVERTON ST
SUITE 330
EDGEWATER, MD, 210372674
Browse MD providers · Browse ZIP 21037
Phone
4109567830
Fax
4109567832
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in EDGEWATER, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.