# CARROLL COUNTY MED SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104986678
- **Authorized official:** REN LEWIS (ADMINISTRATOR)
- **Authorized official phone:** (301) 829-7683

## Contact information

- **Practice address:** 291 STONER AVE, WESTMINSTER, MD 21157-5647
- **Practice address phone:** (410) 871-6139
- **Practice address fax:** (410) 871-6112
- **Mailing address:** 602 CENTER ST STE 107, MOUNT AIRY, MD 21771-7423
- **Mailing address phone:** (301) 829-7683
- **Mailing address fax:** (301) 829-7694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | D0047120 | MD | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020
