Provider Demographics
NPI:1497444764
Name:CREED MEDICAL GROUP INC
Entity Type:Organization
Organization Name:CREED MEDICAL GROUP INC
Other - Org Name:CREED MEDICAL GROUP INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-878-0649
Mailing Address - Street 1:7820 SENECA RIDGE LN S
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2424
Mailing Address - Country:US
Mailing Address - Phone:443-878-0649
Mailing Address - Fax:
Practice Address - Street 1:9658 BALTIMORE AVE STE 300
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1346
Practice Address - Country:US
Practice Address - Phone:443-878-0649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty