| Primary Care Physicians LLC | |
|
2905 Mitchellville Rd Suite104 Bowie MD 20716-1385 | |
| (301) 218-3884 | |
| (301) 218-3886 |
| Full Name | Primary Care Physicians LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2905 Mitchellville Rd, Bowie, Maryland |
| Authorized Official Name and Position | Norman C Smith (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3012183884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Physicians LLC 2905 Mitchellville Rd Suite104 Bowie MD 20716-1385 Ph: (301) 218-3884 | Primary Care Physicians LLC 2905 Mitchellville Rd Suite104 Bowie MD 20716-1385 Ph: (301) 218-3884 |
| NPI Number | 1295910792 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 01/09/2012 |
| Medicare PECOS PAC ID | 3072771161 |
|---|---|
| Medicare Enrollment ID | O20120221000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295910792 | NPI | - | NPPES |
| 341201600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D41240 (Maryland) | Primary |
| Provider Name | Norman C Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184776049 PECOS PAC ID: 1850559949 Enrollment ID: I20120321000194 |
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