| Metropolitan Elite Family Practice, LLC | |
|
3450 Laurel Fort Meade Rd Suite 109 Laurel MD 20724-2040 | |
| (301) 317-8660 | |
| (301) 317-8663 |
| Full Name | Metropolitan Elite Family Practice, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3450 Laurel Fort Meade Rd, Laurel, Maryland |
| Authorized Official Name and Position | Linda Jeanette Mcgee (OWNER) |
| Authorized Official Contact | 3013178660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Elite Family Practice, LLC 3450 Laurel Fort Meade Rd Suite 109 Laurel MD 20724-2040 Ph: (301) 317-8660 | Metropolitan Elite Family Practice, LLC 3450 Laurel Fort Meade Rd Suite 109 Laurel MD 20724-2040 Ph: (301) 317-8660 |
| NPI Number | 1659782126 |
|---|---|
| Provider Enumeration Date | 05/18/2014 |
| Last Update Date | 05/18/2014 |
| Medicare PECOS PAC ID | 7719105519 |
|---|---|
| Medicare Enrollment ID | O20140819002614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659782126 | NPI | - | NPPES |
| 744101100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D053840 (Maryland) | Primary |
| Provider Name | Linda J. Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730282245 PECOS PAC ID: 8123179561 Enrollment ID: I20140819002572 |
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