# SPORTS & SPINE PAIN MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1154752202
- **Authorized official:** DR. HYON K SCHNEIDER M.D. (OWNER)
- **Authorized official phone:** (410) 942-0620

## Contact information

- **Practice address:** 253 LEWIS LN, SUITE 302, HAVRE DE GRACE, MD 21078-3750
- **Practice address phone:** (410) 942-0620
- **Practice address fax:** (410) 484-2797
- **Mailing address:** 253 LEWIS LN, SUITE 302, HAVRE DE GRACE, MD 21078-3750
- **Mailing address phone:** (410) 942-0620
- **Mailing address fax:** (410) 484-2797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0073023 | MD | Yes |

## Other

- **Enumeration date:** 11/27/2013
- **Last updated:** 04/04/2022