| Ronald Gray Medlin, Institute Of Life And Health | |
|
5311 Water St Suite D Upper Marlboro MD 20772-3056 | |
| (301) 627-3007 | |
| Not Available |
| Full Name | Ronald Gray Medlin, Institute Of Life And Health |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 5311 Water St, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Ronald Gray Medlin (OWNER,PROGRAM DIRECTOR) |
| Authorized Official Contact | 3016273007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Gray Medlin, Institute Of Life And Health 5311 Water St Suite D Upper Marlboro MD 20772-3056 Ph: (301) 627-3007 | Ronald Gray Medlin, Institute Of Life And Health 5311 Water St Suite D Upper Marlboro MD 20772-3056 Ph: (301) 627-3007 |
| NPI Number | 1437375615 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437375615 | NPI | - | NPPES |
| GQ24RC | Other | MD | BLUECROSS BLUESHIELD |
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