Healthcare Provider Details

I. General information

NPI: 1811800444
Provider Name (Legal Business Name): HOURGLASS BODY CONTOURING SPA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 W PADONIA RD STE B217
TIMONIUM MD
21093-2237
US

IV. Provider business mailing address

1803 WADSWORTH WAY
BALTIMORE MD
21239-3110
US

V. Phone/Fax

Practice location:
  • Phone: 443-965-9204
  • Fax:
Mailing address:
  • Phone: 443-965-9204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ADRIAN D WILLIAMS
Title or Position: OWNER
Credential: FNP-BC
Phone: 410-733-3756