Organization
MORE WITH DOC C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO CANNON MD (MEDICAL DIRECTOR)
(301) 331-4313
Entity
Organization
Contact information
Practice address
72 GREENE STREET, CUMBERLAND, MD 21502-2150
(240) 330-2430
Mailing address
1138 POTOMAC AVE, HAGERSTOWN, MD 21742-3440
(301) 331-7569
(800) 313-3601
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
D28907
MD
Other
Enumeration date
07/10/2018
Last updated
08/07/2019
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