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Organization
MORE WITH DOC C, LLC
Active
Organization
MORE WITH DOC C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO CANNON MD (MEDICAL DIRECTOR)
(301) 331-4313
Entity
Organization
Contact information
Practice address
72 GREENE STREET, CUMBERLAND, MD 21502-2150
(240) 330-2430
Mailing address
1138 POTOMAC AVE, HAGERSTOWN, MD 21742-3440
(301) 331-7569
(800) 313-3601
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
D28907
MD
Other
Enumeration date
07/10/2018
Last updated
08/07/2019
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