Organization
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Active
Parent organization
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Authorized official
LORI DIXON (DIRECTOR, FINANCE)
(301) 533-4251
Entity
Organization
Contact information
Practice address
922 NATIONAL HWY, LAVALE, MD 21502-7325
(240) 362-7294
(240) 362-7366
Mailing address
PO BOX 1647, MORGANTOWN, WV 26507-1647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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