Organization
JOHNS HOPKINS PERSONALIZED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONDA KEATING (DIR PROVIDER ENROLLMENT)
(410) 302-2229
Entity
Organization
Contact information
Practice address
10751 FALLS RD STE 303, TIMONIUM, MD 21093-4551
(410) 933-1200
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6430
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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