Organization
METROSPINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE HUDSON DRAKES MD (CEO)
(301) 856-5860
Entity
Organization
Contact information
Practice address
6196 OXON HILL, SUITE 510, OXON HILL, MD 20745-1400
(301) 567-2100
(301) 567-2399
Mailing address
6196 OXON HILL, SUITE 510, OXON HILL, MD 20745-1400
(301) 567-2100
(301) 567-2399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18045
MD
174400000X
Specialist
2569
SC
174400000X
Specialist
2816
DC
174400000X
Specialist
4331
TN
174400000X
Specialist
D0042188
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B 111C40
MEDICARE INDIVIDUAL
MD
01
—
043570100
DR DRAKES DC MEDICAID
DC
01
—
055880600
DC MEDICAID METRO SPINE
DC
05
—
168621600
—
MD
01
—
4162340001
METROSPINE MD MEDICAID
MD
01
—
DD2519
MEDICARE RAILROAD #
MD
01
—
S120-0001
CAREFIRST BLUECROSS BLUES
MD
Enumeration date
03/28/2007
Last updated
05/25/2022
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