Organization Name: | MEDICAL MANAGEMENT SPECIALISTS, INC. |
NPI Number: | 1255401154 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES MICHAEL BRIGGS (PRESIDENT) |
Mailing Address: | 8106 D-stayton Drive Jessup |
State: | MD US |
Postal Code: | 207940934 |
Phone Number: | 3017255050 |
Fax Number: | 3017255111 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | D0027184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |