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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
251 N 4TH ST, OAKLAND, MD 21550-1375
(301) 533-4670
(301) 334-1646
Mailing address
PO BOX 1647, MORGANTOWN, WV 26507-1647

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RP1001X
Pulmonary Disease Physician
207V00000X
Obstetrics & Gynecology Physician
208600000X
Surgery Physician
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
01/23/2025
Last updated
01/23/2025
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