| Smds Llc | |
|
20535 Earhart Pl Potomac Falls VA 20165-3581 | |
| (248) 736-3561 | |
| Not Available |
| Full Name | Smds Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 20535 Earhart Pl, Potomac Falls, Virginia |
| Authorized Official Name and Position | Krystle Brown (BILLING MANAGER) |
| Authorized Official Contact | 4108006251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smds Llc 522 Red Raspberry Ter Leesburg VA 20175-5427 Ph: (248) 736-3561 | Smds Llc 20535 Earhart Pl Potomac Falls VA 20165-3581 Ph: (248) 736-3561 |
| NPI Number | 1891424123 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 06/10/2022 |
| Medicare PECOS PAC ID | 4688056427 |
|---|---|
| Medicare Enrollment ID | O20220727000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891424123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Said Sana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679869952 PECOS PAC ID: 1254593973 Enrollment ID: I20220727000356 |
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