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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
500 GREENE ST, CUMBERLAND, MD 21502-2755
(301) 724-7616
Mailing address
PO BOX 1647, MORGANTOWN, WV 26507-1647
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
01/24/2025
Last updated
07/10/2025
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