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1184110850
JAMIE L JOHNSON
GENEVA, AL
NPI
1184110850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 1-118761)
Enumeration Date
2018-07-06
Last Update Date
2022-06-14
Business Address
JAMIE L JOHNSON
100 W LAKE PROFESSIONAL PARK STE 3
GENEVA, AL 36340-1200
Phone number: 334-684-8905
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Mailing Address
JAMIE L JOHNSON
1414 ELBA HWY
TROY, AL 36079-6020
Phone number: 334-670-6726
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