| Village Green Primary Care, Llc | |
|
1684 Village Grn Lowr Level Crofton MD 21114-2059 | |
| (410) 721-3822 | |
| (410) 451-0960 |
| Full Name | Village Green Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1684 Village Grn Lowr Level, Crofton, Maryland |
| Authorized Official Name and Position | Allison N Williams (OWNER EMPLOYEE) |
| Authorized Official Contact | 4107213822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Green Primary Care, Llc 1684 Village Grn Lowr Level Crofton MD 21114-2059 Ph: (410) 721-3822 | Village Green Primary Care, Llc 1684 Village Grn Lowr Level Crofton MD 21114-2059 Ph: (410) 721-3822 |
| NPI Number | 1124531702 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 12/03/2024 |
| Medicare PECOS PAC ID | 7214296011 |
|---|---|
| Medicare Enrollment ID | O20180124003303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124531702 | NPI | - | NPPES |
| 1455745077 | Other | MD | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0061041 (Maryland) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Allison N Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477545077 PECOS PAC ID: 7214920131 Enrollment ID: I20050615000190 |
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