South River Primary Care Llc

  • 1154548303 NPI Number
  • |
  • Actived: 17 years ago
  • |
South River Primary Care Llc is a health care provider based in Edgewater, MD. The NPI Number is 1154548303 and it has been active since 17 years ago. The specialty is Family Medicine, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Family Medicine services, South River Primary Care Llc is an excellent option. We are here to help you get the care you need.

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Overview of South River Primary Care Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 04/19/2007
  • Last updated: 07/29/2009

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: H0056281
  • License State: MD

Provider Mailing Address

  • Address: 3168 Braverton St
    Suite 330
    Edgewater, MD 21037
  • Phone: 410-956-7830
  • Fax: 410-956-7832

Provider Practice Location

  • Address: 3168 Braverton St
    Suite 330
    Edgewater, MD 21037
  • Phone: 410-956-7830
  • Fax: 410-956-7832

Authorized Official

  • Name: DR. Timothy Paul Fry D.O.
  • Position/Title: Owner
  • Telephone Number: 410-956-7830

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: H0056281
  • License State: MD
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for South River Primary Care Llc?
  • A: The npi number for South River Primary Care Llc is 1154548303.
  • Q: What are South River Primary Care Llc's specialties?
  • A: South River Primary Care Llc's specialties are Family Medicine and different specialities.
  • Q: Where is South River Primary Care Llc business practice location?
  • A: South River Primary Care Llc business practice location is 3168 Braverton St, Edgewater, MD 21037.
  • Q: How to contact South River Primary Care Llc?
  • A: You can contact South River Primary Care Llc via 410-956-7830.
  • Q: What is the authorized official for South River Primary Care Llc?
  • A: The authorized office name is DR. Timothy Paul Fry D.O. with position/title is Owner and you can reach the authorized official via phone number 4109567830.
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