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Organization

SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC

Active
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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
880 MEMORIAL DR, OAKLAND, MD 21550-5114
(301) 334-4340
(877) 504-1066
Mailing address
PO BOX 1647, MORGANTOWN, WV 26507-1647

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
208C00000X
Colon & Rectal Surgery Physician

Other

Enumeration date
01/24/2025
Last updated
01/24/2025
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