| Specialty Physicians Of Garrett County, Llc | |
|
32 Corporate Dr Grantsville MD 21536-1259 | |
| (301) 895-8750 | |
| (301) 895-8751 |
| Full Name | Specialty Physicians Of Garrett County, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 32 Corporate Dr, Grantsville, Maryland |
| Authorized Official Name and Position | Tracy Lipscomb (SVP, FINANCE & CFO) |
| Authorized Official Contact | 3015334171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Physicians Of Garrett County, Llc Po Box 594 Oakland MD 21550-4594 Ph: (301) 533-4171 | Specialty Physicians Of Garrett County, Llc 32 Corporate Dr Grantsville MD 21536-1259 Ph: (301) 895-8750 |
| NPI Number | 1881361442 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881361442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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