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1073519070
CARL M JOHNSON
PADUCAH, KY
NPI
1073519070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: KY 24921)
Enumeration Date
2005-06-23
Last Update Date
2020-12-04
Business Address
Dr. CARL M JOHNSON M.D.
2601 KENTUCKY AVE STE 300
PADUCAH, KY 42003-3826
Phone number: 270-443-5564
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Mailing Address
Dr. CARL M JOHNSON M.D.
2601 KENTUCKY AVE STE 306
PADUCAH, KY 42003-3817
Phone number: 270-415-7653
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