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Organization
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Active
Organization
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LIPSCOMB CPA, CHFP (SVP, FINANCE & CFO)
(301) 533-4171
Entity
Organization
Contact information
Practice address
32 CORPORATE DR, GRANTSVILLE, MD 21536-1259
(301) 895-8750
(301) 895-8751
Mailing address
PO BOX 594, OAKLAND, MD 21550-4594
(301) 533-4171
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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