| Sbhc South Lake Es | |
|
18201 Contour Rd Gaithersburg MD 20877-2601 | |
| (240) 740-7330 | |
| (301) 548-4966 |
| Full Name | Sbhc South Lake Es |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 18201 Contour Rd, Gaithersburg, Maryland |
| Authorized Official Name and Position | Jameelah Johnson (MANAGER) |
| Authorized Official Contact | 2407731211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sbhc South Lake Es 401 Hungerford Dr Fl 6 Rockville MD 20850-4154 Ph: (240) 777-4520 | Sbhc South Lake Es 18201 Contour Rd Gaithersburg MD 20877-2601 Ph: (240) 740-7330 |
| NPI Number | 1710689500 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710689500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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