| University Of Maryland Sports Medicine And Wellness, Llc | |
|
5900 Waterloo Rd Columbia MD 21045-2639 | |
| (667) 214-1333 | |
| Not Available |
| Full Name | University Of Maryland Sports Medicine And Wellness, Llc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 5900 Waterloo Rd, Columbia, Maryland |
| Authorized Official Name and Position | Shavonda L Williams (CORPORATE DIRECTOR) |
| Authorized Official Contact | 6672142507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland Sports Medicine And Wellness, Llc Po Box 64380 Baltimore MD 21264-4380 Ph: () - | University Of Maryland Sports Medicine And Wellness, Llc 5900 Waterloo Rd Columbia MD 21045-2639 Ph: (667) 214-1333 |
| NPI Number | 1750199097 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750199097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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