NPI:
1063603777
Provider Name:
TOTAL HEALTH MEDICAL CENTER, PC
Former Legal Business Name: SOUTHERN MARYLAND PHYSICAL THERAPY & CHIROPRACTIC, LLC
Classification:
Clinic/Center - 261QM1300X
Entity Type:
Organization
Specialization: Multi-Specialty
Address:
12106 OLD LINE CTR
WALDORF, MD
ZIP 20602
Phone:
(301) 645-8898
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TOTAL HEALTH MEDICAL CENTER, PC is a multi-specialty clinic center in Waldorf, MD. TOTAL HEALTH MEDICAL CENTER, PC NPI is 1063603777. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Southern Maryland Physical Therapy & Chiropractic, Llc.
The provider's business location address is:
12106 OLD LINE CTR
WALDORF, MD
ZIP 20602-553
Phone: (301) 645-8898
Fax: (240) 222-3280
The provider's authorized official is Edwin L Lipsitz .
The authorized official title is President and has the following contact phone number (301) 645-8898.
The enumeration date for this NPI number is 8/7/2007 and was last updated on 1/31/2012.