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Organization
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Active
Organization
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Active
Parent organization
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Authorized official
LORI DIXON (DIRECTOR, FINANCE)
(301) 533-4251
Entity
Organization
Contact information
Practice address
24441 GARRETT HWY, MC HENRY, MD 21541-1311
(301) 387-8718
(301) 387-8725
Mailing address
PO BOX 1647, MORGANTOWN, WV 26507-1647
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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