| Pain And Spine Specialists Of Maryland, Llc | |
|
1704 Back Acre Cir Mount Airy MD 21771-7768 | |
| (301) 703-8767 | |
| Not Available |
| Full Name | Pain And Spine Specialists Of Maryland, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1704 Back Acre Cir, Mount Airy, Maryland |
| Authorized Official Name and Position | Staci Powell (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4437019295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain And Spine Specialists Of Maryland, Llc 2702 Back Acre Cir # 290b Mount Airy MD 21771-7769 Ph: (301) 703-8767 | Pain And Spine Specialists Of Maryland, Llc 1704 Back Acre Cir Mount Airy MD 21771-7768 Ph: (301) 703-8767 |
| NPI Number | 1588257737 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588257737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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