Healthcare Provider Details

I. General information

NPI: 1568766301
Provider Name (Legal Business Name): THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32033 BEAVER RUN DR
SALISBURY MD
21804-1773
US

IV. Provider business mailing address

PO BOX 1978
SALISBURY MD
21802-1978
US

V. Phone/Fax

Practice location:
  • Phone: 410-749-1015
  • Fax: 410-749-1020
Mailing address:
  • Phone: 410-749-1015
  • Fax: 410-749-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN E HOLLAND
Title or Position: PRESIDENT & CEO
Credential:
Phone: 410-749-1015