Provider First Line Business Practice Location Address:
CHARLOTTE HALL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
37767 MARKET DR. 2ND FLOOR
Provider Business Practice Location Address City Name:
CHARLOTTE HALL
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20622
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
130-188-4732
Provider Business Practice Location Address Fax Number:
301-884-8663
Provider Enumeration Date:
07/03/2007