Organization · Type 2 NPI
Centennial Medical Group, PA
General Practice Physician · Gambrills, MD
NPI number
1306477849
Active
Practice location
1071 Md Rt 3 N Ste 101
Gambrills, MD 21054-1784
Mailing address
5005 Signal Bell Ln Ste 200
Clarksville, MD 21029-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
Other general practice physician providers in Gambrills
- Medstar Medical Group II LLCGeneral Practice Physician Gambrills, MD NPI 1285306811
- Medstar Medical Group II LLCGeneral Practice Physician Gambrills, MD NPI 1336044486
- Chesapeake Physicians GroupGeneral Practice Physician Gambrills, MD NPI 1487119046
- Medstar Medical Group II LLCGeneral Practice Physician Gambrills, MD NPI 1851263396
- Medstar Medical Group IIGeneral Practice Physician Gambrills, MD NPI 1942173158
About NPI 1306477849
Centennial Medical Group, PA's National Provider Identifier is 1306477849, issued on Feb 3, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gambrills, MD. The record was last updated on Feb 3, 2020.