Organization · Type 2 NPI

Premise Health of Maryland Medical PC

Multi-Specialty Clinic/Center · Williamsport, MD

NPI number 1912673294 Active

Practice location

16505 Virginia Ave
Williamsport, MD 21795-1321

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1912673294

Premise Health of Maryland Medical PC's National Provider Identifier is 1912673294, issued on Aug 18, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Williamsport, MD. The record was last updated on Feb 5, 2026.