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Organization

SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI DIXON (DIRECTOR OF FINANCE)
(301) 533-4251
Entity
Organization

Contact information

Practice address
375 PYTHIAN AVE, OAKLAND, MD 21550-5111
(304) 334-4565
Mailing address
375 PYTHIAN AVE, OAKLAND, MD 21550-5111

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207RN0300X
Nephrology Physician
207RP1001X
Pulmonary Disease Physician

Other

Enumeration date
11/19/2024
Last updated
11/19/2024
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