| Organization Name: | MMG - GEORGETOWN FAMILY PRACTICE LLC |
| NPI Number: | 1922395581 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE SCHNEIDER (VICE PRESIDENT) |
| Mailing Address: | 4910 Massachusetts Ave Nw Suite 115 Washington |
| State: | DC US |
| Postal Code: | 200164300 |
| Phone Number: | 2022370015 |
| Fax Number: | 2022370076 |
| NPI Enumeration Date: | 07/05/2011 |
| NPI Last Update Date: | 02/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |