Mid Atlantic Medical Management , LLC

NPI #1568904712 in Waldorf, Maryland

Provider Information

NPI Number: 1568904712
Entity Type: Organization
Organization Name: Mid Atlantic Medical Management , LLC
Primary Specialty: General Practice
Enumeration Date: Nov 4, 2016
Last Updated: Nov 4, 2016

Practice Location

Address: 3050 CRAIN HWY STE 101A
City: Waldorf
State: Maryland
ZIP Code: 20601-2823
Phone: (240) 754-7130

Authorized Official

Name: ATLEE T WAMPLER IV, DC
Title: CEO/OWNER
Phone: (678) 524-6828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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