Organization
CAREWAY SOUTHERN MARYLAND CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS KIRBY (ADMINISTRATOR)
(301) 565-2250
Entity
Organization
Contact information
Practice address
3460 OLD WASHINGTON RD STE 203A, WALDORF, MD 20602-3243
(301) 638-9670
Mailing address
3460 OLD WASHINGTON RD STE 203A, WALDORF, MD 20602-3243
(301) 638-9670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
04/15/2025
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