NPI | 1356437503 |
---|---|
Former Legal Business Name | JEFFREY A JOHNSON, D.O. |
Entity Type | Organization |
Authorized Contact | JEFFREY ALLEN JOHNSON President 256-350-1773 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL DO701) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2009-12-11 |