Organization · Type 2 NPI

Sports & Spine Pain Management, LLC

Medical Specialty Clinic/Center · Havre De Grace, MD

NPI number 1154752202 Active

Practice location

253 Lewis Ln, Suite 302
Havre De Grace, MD 21078-3750

Fax (410) 484-2797

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X0073023 (MD)

Medical Specialty Clinic/Center: 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).

5 other providers at this address

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About NPI 1154752202

Sports & Spine Pain Management, LLC's National Provider Identifier is 1154752202, issued on Nov 27, 2013. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Havre De Grace, MD. The record was last updated on Apr 4, 2022.