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NPI Code Detail

MEDICARE: TOTAL HEALTH, LLC

MEDICARE: TOTAL HEALTH, LLC
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
1207R00000XInternal Medicine PhysicianD0039713MD

General Provider Information

NPI Number : 1588837892
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL HEALTH, LLC
Provider Business Mailing Address
First Line : PO BOX 4758
Second Line :
City : SILVER SPRING
State : MD
Zip : 20914-4758
Country : US
Telephone Number : 301-890-8000
Fax Number : 301-890-1485
Provider Business Practice Location Address
First Line : 13823 OUTLET DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-4971
Country : US
Telephone Number : 301-890-8000
Fax Number : 301-890-1485
Authorized Official
Title or Position : ADMIN.
Name : MARYANN AYERS
Credential :
Telephone Number : 301-870-3540
Provider Enumeration Date : 04/08/2008
Last Update Date : 04/08/2008

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Directions to “TOTAL HEALTH, LLC ” Practice Location

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