| Cultured Pearl Images, Llc | |
|
5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 | |
| (410) 656-9146 | |
| Not Available |
| Full Name | Cultured Pearl Images, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5457 Twin Knolls Rd Ste 300, Columbia, Maryland |
| Authorized Official Name and Position | Carmela Fisher (CEO) |
| Authorized Official Contact | 4432084434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultured Pearl Images, Llc 5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 Ph: (410) 656-9146 | Cultured Pearl Images, Llc 5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 Ph: (410) 656-9146 |
| NPI Number | 1104549161 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104549161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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