Organization
PINEY ORCHARD SURGERY CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ROBERT COLKITT M.D. (PARTNER)
(941) 346-0858
Entity
Organization
Contact information
Practice address
1132 ANNAPOLIS RD, ODENTON, MD 21113-1647
(410) 674-0020
(410) 674-6226
Mailing address
PO BOX 631688, BALTIMORE, MD 21263-1688
(814) 689-2066
(814) 689-2001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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