MEDICARE: PATIENT FIRST MARYLAND MEDICAL GROUP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1104588136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT FIRST MARYLAND MEDICAL GROUP PLLC

Provider Business Mailing Address
First Line	:	5000 COX RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9263
Country	:	US
Telephone Number	:	804-822-4355
Fax Number	:

Provider Business Practice Location Address
First Line	:	13671 GEORGIA AVE
Second Line	:
City	:	ASPEN HILL
State	:	MD
Zip	:	20906-5214
Country	:	US
Telephone Number	:	240-514-0000
Fax Number	:	240-514-0001

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GEORGE HARRIS MORISON
Credential	:
Telephone Number	:	804-968-5700

Provider Enumeration Date	:	10/07/2021
Last Update Date	:	03/05/2024

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