Organization
SMDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTLE BROWN (BILLING MANAGER)
(410) 800-6251
Entity
Organization
Contact information
Practice address
20535 EARHART PL, POTOMAC FALLS, VA 20165-3581
(248) 736-3561
Mailing address
522 RED RASPBERRY TER, LEESBURG, VA 20175-5427
(248) 736-3561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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