Organization · Type 2 NPI
Medical Practices of Antietam LLC
Neurology Physician · Hagerstown, MD
NPI number
1104767771
Active
Practice location
235 Mill St Ste 1
Hagerstown, MD 21740-6668
Mailing address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | None listed |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2 other providers at this address
Other neurology physician providers in Hagerstown
About NPI 1104767771
Medical Practices of Antietam LLC's National Provider Identifier is 1104767771, issued on Apr 6, 2026. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Hagerstown, MD. The record was last updated on Apr 6, 2026.