Organization
PARKWAY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI HARRIS (CEO)
(240) 420-0192
Entity
Organization
Contact information
Practice address
17 WESTERN MARYLAND PKWY, SUITE 102, HAGERSTOWN, MD 21740-5146
(240) 420-0192
(240) 420-0197
Mailing address
17 WESTERN MARYLAND PKWY, SUITE 102, HAGERSTOWN, MD 21740-5146
(240) 420-0192
(240) 420-0197
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
APPLICATION PENDING
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821036534
NPI
MD
Enumeration date
06/03/2006
Last updated
12/26/2023
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