| Organization Name: | MGMC, LLC |
| NPI Number: | 1003284282 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE SCHNEIDER (VP) |
| Mailing Address: | 5454 Wisconsin Ave Barlow Building, 11th Floor Chevy Chase |
| State: | MD US |
| Postal Code: | 208156901 |
| Phone Number: | 8556052225 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2015 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |