CARL R JOHNSON

MATTOON, IL
NPI1275525701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036057126)
Enumeration Date2005-08-19
Last Update Date2015-01-27
Business Address
Dr. CARL R JOHNSON M.D.
500 HEALTH CENTER DR SUITE 104
MATTOON, IL 61938-9258
Phone number: 217-258-4080
Mailing Address
Dr. CARL R JOHNSON M.D.
PO BOX 372
MATTOON, IL 61938-0372
Phone number: 217-258-4080
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