Organization
JOHNSTON FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY JOHNSTON (OWNER)
(410) 751-6684
Entity
Organization
Contact information
Practice address
41 MAGNA WAY, SUITE 100, WESTMINSTER, MD 21157-3008
(410) 751-6684
Mailing address
41 MAGNA WAY, SUITE 100, WESTMINSTER, MD 21157-3008
(410) 751-6684
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400442600
—
MD
01
—
G595
BLUECHOICE PROVIDER NUMBE
—
01
—
KCO3JO
BSBC GROUP NUMBER
—
Enumeration date
02/01/2007
Last updated
08/19/2014
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