Organization
QOL PAIN MANAGEMENT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY SINCLAIR JENNINGS M.D. (ANESTHESIOLOGIST/PAIN MANAGEMENT)
(410) 578-0730
Entity
Organization
Contact information
Practice address
3102 N HILTON ST, BALTIMORE, MD 21216-1450
(410) 578-0730
(410) 578-0798
Mailing address
701 BROOKWOOD RD, BALTIMORE, MD 21229-1404
(410) 947-8442
(410) 578-0798
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
D0042216
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345911000
—
MD
Enumeration date
09/05/2008
Last updated
09/05/2008
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