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NPI Code Detail

MEDICARE: MS. TAMMY L WELCH PAC

MEDICARE:  MS. TAMMY L WELCH  PAC
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
1363A00000XPhysician AssistantC0002632MD

General Provider Information

NPI Number : 1477551208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMMY L WELCH PAC
Provider Business Mailing Address
First Line : 1 FREDERICK HEALTH WAY
Second Line :
City : FREDERICK
State : MD
Zip : 21701-9435
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1562 OPOSSUMTOWN PIKE
Second Line :
City : FREDERICK
State : MD
Zip : 21702-4920
Country : US
Telephone Number : 301-694-5861
Fax Number : 240-439-8910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 06/17/2025

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Directions to “ MS. TAMMY L WELCH PAC” Practice Location

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