| Organization Name: | SANDY SPRING PEDIATRICS, LLC |
| NPI Number: | 1689859373 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STACY D SCOTT-MCKINNEY (DIRECTOR/OWNER) |
| Mailing Address: | 900 Olney Sandy Spring Rd Suite A Sandy Spring |
| State: | MD US |
| Postal Code: | 208601317 |
| Phone Number: | 3012607777 |
| Fax Number: | 3012601314 |
| NPI Enumeration Date: | 01/01/2008 |
| NPI Last Update Date: | 01/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | D0041884 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |