Healthcare Provider Details

I. General information

NPI: 1972446813
Provider Name (Legal Business Name): SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14689 GARRETT HWY STE 3
OAKLAND MD
21550-4059
US

IV. Provider business mailing address

PO BOX 1647
MORGANTOWN WV
26507-1647
US

V. Phone/Fax

Practice location:
  • Phone: 301-859-7178
  • Fax: 240-270-5222
Mailing address:
  • Phone: 304-974-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LORI DIXON
Title or Position: DIRECTOR FINANCE
Credential:
Phone: 301-533-4251