| Landmark Medical Group Llc | |
|
615 W Macphail Rd Suite 206 Bel Air MD 21014-4309 | |
| (410) 638-5101 | |
| (410) 638-6854 |
| Full Name | Landmark Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 W Macphail Rd, Bel Air, Maryland |
| Authorized Official Name and Position | Clarence Smith (PRESIDENT) |
| Authorized Official Contact | 4106385101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Group Llc Po Box 667 Bel Air MD 21014-0667 Ph: (410) 638-5101 | Landmark Medical Group Llc 615 W Macphail Rd Suite 206 Bel Air MD 21014-4309 Ph: (410) 638-5101 |
| NPI Number | 1538134747 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538134747 | NPI | - | NPPES |
| 968102701 | Medicaid | MD | |
| LN93 | Other | MD | CAREFIRST BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Maryland) | Secondary |
| 207R00000X | Internal Medicine | (Maryland) | Primary |
| 208000000X | Pediatrics | (Maryland) | Secondary |
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