| Gastrointestinal Associates Of Maryland Pa | |
|
6710 Oxon Hill Rd Ste 305 Oxon Hill MD 20745-1117 | |
| (301) 292-2300 | |
| (301) 292-8025 |
| Full Name | Gastrointestinal Associates Of Maryland Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6710 Oxon Hill Rd Ste 305, Oxon Hill, Maryland |
| Authorized Official Name and Position | Legina Michelle Gray (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3016458035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal Associates Of Maryland Pa 12070 Old Line Ctr Ste 200 Waldorf MD 20602-2503 Ph: (301) 645-8035 | Gastrointestinal Associates Of Maryland Pa 6710 Oxon Hill Rd Ste 305 Oxon Hill MD 20745-1117 Ph: (301) 292-2300 |
| NPI Number | 1770565731 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 02/05/2018 |
| Medicare PECOS PAC ID | 7911079181 |
|---|---|
| Medicare Enrollment ID | O20080703000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770565731 | NPI | - | NPPES |
| 035197200 | Medicaid | DC | |
| 155700900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Lornette B Mills |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689673741 PECOS PAC ID: 1850463035 Enrollment ID: I20080703000100 |
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