Individual
DR. JOHN C GREENAWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST, DEPT OF MEDICINE RM 4890, BALTIMORE, MD 21204-6808
(443) 849-8046
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D60248
MD
208M00000X
Hospitalist Physician
D60248
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402522900
—
MD
01
—
KJ15GB/62225001
CAREFIRST MARYLAND
MD
01
—
S138-0067
CAREFIRST REGIONAL
MD
Enumeration date
08/04/2006
Last updated
07/13/2007
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