| Phoenix Of Health, Llc | |
|
221 E Antietam St Hagerstown MD 21740-5724 | |
| (240) 420-0000 | |
| (240) 420-0002 |
| Full Name | Phoenix Of Health, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 221 E Antietam St, Hagerstown, Maryland |
| Authorized Official Name and Position | Joy Ramsay Farah (CHEIF MEDICAL DIRECTOR) |
| Authorized Official Contact | 2404200000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Of Health, Llc 221 E Antietam St Hagerstown MD 21740-5724 Ph: (240) 420-0000 | Phoenix Of Health, Llc 221 E Antietam St Hagerstown MD 21740-5724 Ph: (240) 420-0000 |
| NPI Number | 1336537430 |
|---|---|
| Provider Enumeration Date | 12/26/2014 |
| Last Update Date | 12/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336537430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D0016982 (Maryland) | Primary |
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