| Absolutecare Of Md2, Llc | |
|
7501 Greenway Center Drive Ste 600 Greenbelt MD 20770-6704 | |
| (301) 579-3465 | |
| (404) 231-5977 |
| Full Name | Absolutecare Of Md2, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7501 Greenway Center Drive, Greenbelt, Maryland |
| Authorized Official Name and Position | Thomas J Trently (CFO) |
| Authorized Official Contact | 4437380281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolutecare Of Md2, Llc 7501 Greenway Center Drive Ste 600 Greenbelt MD 20770-6704 Ph: (301) 579-3465 | Absolutecare Of Md2, Llc 7501 Greenway Center Drive Ste 600 Greenbelt MD 20770-6704 Ph: (301) 579-3465 |
| NPI Number | 1396261087 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Medicare PECOS PAC ID | 3375560394 |
|---|---|
| Medicare Enrollment ID | O20180713002492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396261087 | NPI | - | NPPES |
| 797705100 | Medicaid | MD |
| Provider Name | Seliat A Dosunmu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023483484 PECOS PAC ID: 4486947215 Enrollment ID: I20160801001495 |
| Provider Name | Amanda L Sollars |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619210960 PECOS PAC ID: 9931407392 Enrollment ID: I20180713002614 |
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