| Vivis Family Medicine Llc | |
|
3606 Chancelsors Dr Upper Marlboro MD 20772-8194 | |
| (240) 605-5215 | |
| Not Available |
| Full Name | Vivis Family Medicine Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3606 Chancelsors Dr, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Hedwig E Manga Williams (OWNER) |
| Authorized Official Contact | 2406055215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivis Family Medicine Llc 3606 Chancelsors Dr Upper Marlboro MD 20772-8194 Ph: (240) 605-5215 | Vivis Family Medicine Llc 3606 Chancelsors Dr Upper Marlboro MD 20772-8194 Ph: (240) 605-5215 |
| NPI Number | 1346067220 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346067220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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