| NPI | 1992670228 |
|---|---|
| Other Name | SPPS COLUMBIA CHARTER DRIVE |
| Entity Type | Organization |
| Authorized Contact | JUSTIN DEIBEL Executive Vice President/CFO 410-659-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |