Organization
SOUTHERN MARYLAND HOSPITAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LEVELING (CRNA)
(301) 877-4385
Entity
Organization
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 877-4385
Mailing address
15976 MEANDERING DR, BRANDYWINE, MD 20613-4109
(301) 579-2539
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
R117827
MD
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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