Healthcare Provider Details

I. General information

NPI: 1033436928
Provider Name (Legal Business Name): COURTENAY HYLTON MORROW D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTENAY LEE HYLTON

II. Dates (important events)

Enumeration Date: 04/30/2010
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 N CHARLES ST PPE SUITE 411
BALTIMORE MD
21204-6800
US

IV. Provider business mailing address

6565 N CHARLES ST PPE SUITE 411
BALTIMORE MD
21204-6800
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-2707
  • Fax: 443-849-8066
Mailing address:
  • Phone: 443-849-2707
  • Fax: 443-849-8066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH0076168
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: