| Turner Primary Care Llc | |
|
635 Main St Reisterstown MD 21136-1931 | |
| (443) 244-1818 | |
| Not Available |
| Full Name | Turner Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 635 Main St, Reisterstown, Maryland |
| Authorized Official Name and Position | Mary Lillian Turner (OWNER) |
| Authorized Official Contact | 4432447044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Turner Primary Care Llc 635 Main St Reisterstown MD 21136-1931 Ph: (443) 244-7044 | Turner Primary Care Llc 635 Main St Reisterstown MD 21136-1931 Ph: (443) 244-1818 |
| NPI Number | 1679157077 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 10/04/2021 |
| Medicare PECOS PAC ID | 5991198061 |
|---|---|
| Medicare Enrollment ID | O20240701002945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679157077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mary L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568975654 PECOS PAC ID: 1456619402 Enrollment ID: I20171220000862 |
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