South River Primary Care LLC
South River Primary Care LLC is a Family Medicine Physician in Edgewater, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3168 Braverton St Ste 330Edgewater, MD 21037-2674
Phone: (410) 956-7830
Fax: (410) 956-7832
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence H0056281 (MD) |
|---|
Record details
| NPI number | 1154548303 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Fry — Owner · (410) 956-7830 |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | July 29, 2009 |
| Mailing address | 3168 Braverton St, Suite 330, Edgewater, MD 21037-2674 |
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