Lower Shore Clinic, Inc.
NPI #1770716458 in Centreville, Maryland
Provider Information
- NPI Number
- 1770716458
- Entity Type
- Organization
- Organization Name
- Lower Shore Clinic, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LOWER SHORE CLINIC, INC.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 28, 2009
- Last Updated
- Sep 3, 2009
Practice Location
- Address
- 120 BANJO LN
- City
- Centreville
- State
- Maryland
- ZIP Code
- 21617-1002
- Phone
- (410) 341-3420
Authorized Official
- Name
- TUESDAY TROTT
- Title
- ADMINISTRATOR
- Phone
- (410) 341-3420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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