Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premiere Spine and Sports Medicine LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1245760875

Premiere Spine and Sports Medicine LLC is a Physical Medicine & Rehabilitation Physician in Hagerstown, Maryland. Works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13114 Pennsylvania Ave
Hagerstown, MD 21742-2741
Phone: (301) 800-7770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1165 Imperial Dr, Hagerstown, MD 21740-6555 — (301) 800-7770

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X (MD)

Record details

NPI number1245760875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Clark — Owner/Physician · (252) 295-8685
NPI enumeratedJune 15, 2017
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address13114 Pennsylvania Ave, Hagerstown, MD 21742-3720

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