Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 provides Sports Medicine (Family Medicine) Physician services 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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