Organization
SMAC SPORT & SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ROBERT DIMICHELE D.C. (OWNER)
(443) 359-8126
Entity
Organization
Contact information
Practice address
15851 CAMPFIRE PL, HUGHESVILLE, MD 20637-2706
(443) 359-8126
Mailing address
15851 CAMPFIRE PL, HUGHESVILLE, MD 20637-2706
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MD
Other
Enumeration date
11/22/2016
Last updated
09/10/2018
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