MEDICARE: M MANAGEMENT GROUP 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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1942173034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M MANAGEMENT GROUP LLC

Provider Business Mailing Address
First Line	:	6 E EAGER ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-2506
Country	:	US
Telephone Number	:	410-870-9380
Fax Number	:

Provider Business Practice Location Address
First Line	:	1510 COLLINGWOOD RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22308-1605
Country	:	US
Telephone Number	:	703-765-6107
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	KRYSTLE D BROWN
Credential	:
Telephone Number	:	410-800-6251

Provider Enumeration Date	:	09/25/2025
Last Update Date	:	09/25/2025

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Directions to “M MANAGEMENT GROUP LLC ” Practice Location

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