Organization · Type 2 NPI
Southside Pediatrics & Adult Care LLC
Primary Care Clinic/Center · Hagerstown, MD
NPI number
1669970067
Active
Practice location
1185 Mount Aetna Rd Ste 200
Hagerstown, MD 21740-6832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | 193525 (MD) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1669970067
Southside Pediatrics & Adult Care LLC's National Provider Identifier is 1669970067, issued on Jan 31, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hagerstown, MD. The record was last updated on Jun 9, 2022.