Individual
SHANNON RAE BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6181
Mailing address
PO BOX 64260, BALTIMORE, MD 21264-4260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D56006
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
984200400
—
MD
Enumeration date
04/18/2006
Last updated
06/09/2008
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