Organization
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LIPSCOMB CPA, CHFP (SVP, FINANCE & CFO)
(301) 533-4171
Entity
Organization
Contact information
Practice address
32 CORPORATE DR, GRANTSVILLE, MD 21536-1259
(301) 895-8750
(301) 895-8751
Mailing address
PO BOX 594, OAKLAND, MD 21550-4594
(301) 533-4171
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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