# SOUTHERN MARYLAND HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHERN MARYLAND HOSPITAL, INC.
- **Other names:** Department of Medical Surgical
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508055120
- **Legal business name:** SOUTHERN MARYLAND HOSPITAL, INC.
- **Authorized official:** MR. CHARLES R. STEWART (CFO)
- **Authorized official phone:** (301) 877-4541

## Contact information

- **Practice address:** 7503 SURRATTS ROAD, CLINTON, MD 20735-3358
- **Practice address phone:** (301) 870-7001
- **Practice address fax:** (301) 870-6697
- **Mailing address:** 7503 SURRATTS ROAD, CLINTON, MD 20735-3358
- **Mailing address phone:** (301) 870-7001
- **Mailing address fax:** (301) 870-6697

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2007
- **Last updated:** 11/07/2011