Specialty Physicians Of Garrett | |
32 Corporate Dr Grantsville MD 21536-1259 | |
(301) 895-8750 | |
(301) 895-8751 |
Full Name | Specialty Physicians Of Garrett |
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Speciality | Family Medicine |
Location | 32 Corporate Dr, Grantsville, Maryland |
Authorized Official Name and Position | Michele A Birkby-vance (DO, BILLING OFFICE MANAGER) |
Authorized Official Contact | 3018958749 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Specialty Physicians Of Garrett Po Box 594 Oakland MD 21550-4594 Ph: (301) 895-8750 | Specialty Physicians Of Garrett 32 Corporate Dr Grantsville MD 21536-1259 Ph: (301) 895-8750 |
NPI Number | 1346806502 |
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Provider Enumeration Date | 05/14/2019 |
Last Update Date | 05/14/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346806502 | NPI | - | NPPES |
541184000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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