Southern Maryland Orthopaedic & Sports Medici NE Center PC
NPI #1285750059 in Leonardtown, Maryland
Provider Information
- NPI Number
- 1285750059
- Entity Type
- Organization
- Organization Name
- Southern Maryland Orthopaedic & Sports Medici NE Center PC
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Feb 9, 2009
Practice Location
- Address
- 23000 MOAKLEY ST
- Address 2
- SUITE 102
- City
- Leonardtown
- State
- Maryland
- ZIP Code
- 20650-2915
- Phone
- (301) 475-5555
Authorized Official
- Name
- HEIDI MATTINGLY, CMPE
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (301) 475-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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