# REFRESH PAIN AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1669095402
- **Authorized official:** SHADA HARRIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (443) 893-3808

## Contact information

- **Practice address:** 6314 WINDSOR MILL RD STE 100, GWYNN OAK, MD 21207-6078
- **Practice address phone:** (443) 893-3808
- **Practice address fax:** (443) 893-3978
- **Mailing address:** 6314 WINDSOR MILL RD STE 100, GWYNN OAK, MD 21207-6078
- **Mailing address phone:** (443) 893-3808
- **Mailing address fax:** (443) 893-3978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2020
- **Last updated:** 05/27/2020