# CAREWAY SOUTHERN MARYLAND CLINIC LLC

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

## Provider details

- **NPI number:** 1437957388
- **Authorized official:** CHRIS KIRBY (ADMINISTRATOR)
- **Authorized official phone:** (301) 565-2250

## Contact information

- **Practice address:** 3460 OLD WASHINGTON RD STE 203A, WALDORF, MD 20602-3243
- **Practice address phone:** (301) 638-9670
- **Mailing address:** 3460 OLD WASHINGTON RD STE 203A, WALDORF, MD 20602-3243
- **Mailing address phone:** (301) 638-9670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2025
- **Last updated:** 04/15/2025