Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2024-01-25
- Last updated
- 2026-04-18
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 63 THOMAS JOHNSON DR STE E
- City
- FREDERICK MD
- Postal code
- 217024399
- Phone
- 301-694-7600
Organization contact
- Name
- BRIANNA FOULKROD
- Title
- AVP Cred and Enrollment
- Phone
- 5716502710
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.