Grove Family Medicine-dpc | |
46499 Porto Bello Ct Drayden MD 20630-3217 | |
(801) 920-5561 | |
Not Available |
Full Name | Grove Family Medicine-dpc |
---|---|
Speciality | Clinic/center |
Location | 46499 Porto Bello Ct, Drayden, Maryland |
Authorized Official Name and Position | Sheri Dean (OWNER/PROVIDER) |
Authorized Official Contact | 8019205561 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grove Family Medicine-dpc 46499 Porto Bello Ct Drayden MD 20630-3217 Ph: (801) 920-5561 | Grove Family Medicine-dpc 46499 Porto Bello Ct Drayden MD 20630-3217 Ph: (801) 920-5561 |
NPI Number | 1174307656 |
---|---|
Provider Enumeration Date | 08/24/2023 |
Last Update Date | 09/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174307656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |