| Paul E Pritchett Sr Md Llc | |
|
118 Lagrange Ave La Plata MD 20646 | |
| (240) 349-2315 | |
| (301) 934-6224 |
| Full Name | Paul E Pritchett Sr Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 118 Lagrange Ave, La Plata, Maryland |
| Authorized Official Name and Position | Paul Eddie Pritchett, (PRESIDENT) |
| Authorized Official Contact | 2403492315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul E Pritchett Sr Md Llc 118 Lagrange Ave Po Box 1317 La Plata MD 20646 Ph: (240) 349-2315 | Paul E Pritchett Sr Md Llc 118 Lagrange Ave La Plata MD 20646 Ph: (240) 349-2315 |
| NPI Number | 1275843468 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 03/12/2014 |
| Medicare PECOS PAC ID | 8426289646 |
|---|---|
| Medicare Enrollment ID | O20140401000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275843468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul E Pritchett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275535981 PECOS PAC ID: 9133137698 Enrollment ID: I20101109000665 |
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