Organization
ATLANTIC PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS T WEAVER D.C. (OWNER)
(301) 249-9355
Entity
Organization
Contact information
Practice address
1641 ROUTE 3 N, CROFTON, MD 21114
(301) 249-9355
Mailing address
PO BOX 4443, CROFTON, MD 21114-4443
(301) 249-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01908
MD
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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