Organization
SHADY GROVE PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DIGGINS (OFFICE MANAGER)
(301) 948-2995
Entity
Organization
Contact information
Practice address
16220 S FREDERICK AVE, SUITE 200, GAITHERSBURG, MD 20877-4039
(301) 948-2995
(301) 948-6056
Mailing address
16220 S FREDERICK AVE, SUITE 200, GAITHERSBURG, MD 20877-4039
(301) 948-2995
(301) 948-6056
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MD
Other
Enumeration date
02/16/2007
Last updated
07/01/2009
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