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Sports & Spine Pain Management, Llc
Medical Specialty Clinic/Center in Havre De Grace, Maryland
NPI 1154752202

Sports & Spine Pain Management, Llc is a Medical Specialty Clinic/Center based in Havre De Grace, MD and is specialized in Medical Specialty. Sports & Spine Pain Management, Llc practices in Havre De Grace, MD. The NPI Number for Sports & Spine Pain Management, Llc is 1154752202 and holds a License No. 0073023 (Maryland).

The current practice location address for Sports & Spine Pain Management, Llc is 253 Lewis Ln, Havre De Grace, MD and can be reached out via phone at 410-942-0620 and via fax at 410-484-2797.

Location: 253 Lewis Ln, Havre De Grace, MD, 21078-3750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154752202
Provider Name
Sports & Spine Pain Management, Llc
Credential
Provider Entity Type
Organization
Address
253 Lewis Ln, Havre De Grace, MD, 21078-3750
Phone Number
410-942-0620
Fax Number
410-484-2797
Provider Enumeration Date
11/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
253 Lewis Ln
City
Havre De Grace
State
Maryland
Zip
21078-3750
Phone Number
410-942-0620
Fax Number
410-484-2797
person
Provider Business Mailing Address Details
Address
253 Lewis Ln
City
Havre De Grace
State
Maryland
Zip
21078-3750
Phone Number
410-942-0620
Fax Number
410-484-2797
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
0073023 (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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