Organization
CAROLINE CO. HEALTH DEPT. HIV CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND SPENCER MD (HEALTH OFFICER)
(410) 479-8036
Entity
Organization
Contact information
Practice address
403 S 7TH ST, DENTON, MD 21629-1327
(410) 479-8036
(410) 479-0554
Mailing address
403 S 7TH ST, DENTON, MD 21629-1327
(410) 479-8036
(410) 479-0554
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
D0027046
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273143600
—
MD
Enumeration date
10/01/2010
Last updated
10/01/2010
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