Individual
DR. JOHN C GREENAWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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