| Main Street Med Center LLC | |
|
951a Mount Hermon Rd Salisbury MD 21804-5105 | |
| (410) 548-2700 | |
| (410) 548-2608 |
| Full Name | Main Street Med Center LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 951a Mount Hermon Rd, Salisbury, Maryland |
| Authorized Official Name and Position | James Oneil Burns (MEDICAL DIRECTOR CO OWNER) |
| Authorized Official Contact | 4105482700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Med Center LLC 951a Mount Hermon Rd Salisbury MD 21804-5105 Ph: (410) 548-2700 | Main Street Med Center LLC 951a Mount Hermon Rd Salisbury MD 21804-5105 Ph: (410) 548-2700 |
| NPI Number | 1164493482 |
|---|---|
| Provider Enumeration Date | 01/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164493482 | NPI | - | NPPES |
| LL15MA | Other | BLUE SHIELD | |
| W0520001 | Other | DC | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M36690 (Maryland) | Primary |
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