| Johns Hopkins Personalized Care | |
|
10751 Falls Rd Ste 303 Timonium MD 21093-4551 | |
| (410) 933-1200 | |
| Not Available |
| Full Name | Johns Hopkins Personalized Care |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 10751 Falls Rd Ste 303, Timonium, Maryland |
| Authorized Official Name and Position | Shavonda Keating (DIR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4103022229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johns Hopkins Personalized Care 6201 Greenleigh Ave Baltimore MD 21220-2004 Ph: (410) 933-6430 | Johns Hopkins Personalized Care 10751 Falls Rd Ste 303 Timonium MD 21093-4551 Ph: (410) 933-1200 |
| NPI Number | 1184489791 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184489791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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