| Packer Medical Center | |
|
9175 Guilford Rd Ste 300 Columbia MD 21046-2565 | |
| (410) 512-9122 | |
| Not Available |
| Full Name | Packer Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 9175 Guilford Rd Ste 300, Columbia, Maryland |
| Authorized Official Name and Position | Felicia Nicholsonbrown (PRESIDENT) |
| Authorized Official Contact | 4105129122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Packer Medical Center Po Box 82 Glenelg MD 21737-0082 Ph: (410) 512-9122 | Packer Medical Center 9175 Guilford Rd Ste 300 Columbia MD 21046-2565 Ph: (410) 512-9122 |
| NPI Number | 1386595270 |
|---|---|
| Provider Enumeration Date | 02/05/2026 |
| Last Update Date | 09/16/2026 |
| Certification Date | 09/16/2026 |
| Medicare PECOS PAC ID | 3678048444 |
|---|---|
| Medicare Enrollment ID | O20260409000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386595270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Felicia Nicholsonbrown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528128345 PECOS PAC ID: 4981707395 Enrollment ID: I20170613000027 |
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