Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mill Street Medical Group LLC

Organization Family Medicine Physician · NPI 1134508450

Mill Street Medical Group LLC is a Family Medicine Physician in Hagerstown, Maryland. Licensed in Maryland. Registered with an NPI since 2015.

Licensed in
MD
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 Mill St
Hagerstown, MD 21740-6138
Phone: (301) 739-7100
Fax: (301) 498-1439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D0018019 (MD)

Record details

NPI number1134508450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malena Jean-Smith — Administrator · (301) 755-9488
NPI enumeratedMay 19, 2015
Last updated in NPPESApril 1, 2016
Mailing address340 Mill St, Hagerstown, MD 21740-6138

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