| Centennial Medical Group | |
|
10981 Johns Hopkins Rd Laurel MD 20723-6002 | |
| (410) 730-3399 | |
| (443) 478-4737 |
| Full Name | Centennial Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 10981 Johns Hopkins Rd, Laurel, Maryland |
| Authorized Official Name and Position | Ria Young (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4107303399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Medical Group 6230 Old Dobbin Ln Ste 230 Columbia MD 21045-5884 Ph: (410) 730-3399 | Centennial Medical Group 10981 Johns Hopkins Rd Laurel MD 20723-6002 Ph: (410) 730-3399 |
| NPI Number | 1699572396 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 02/28/2025 |
| Certification Date | 02/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699572396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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