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

University of Maryland Sports Medicine and Wellness, LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1730997073

University of Maryland Sports Medicine and Wellness, LLC is a Sports Medicine (Family Medicine) Physician in Columbia, Maryland. Registered with an NPI since 2024.

In the registry since
2024
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

5890 Waterloo Rd
Columbia, MD 21045-2617
Phone: (667) 214-1333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1730997073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shavonda Williams — Corporate Director · (667) 214-2507
NPI enumeratedDecember 19, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing addressPo Box 64380, Baltimore, MD 21264-4380

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