| NPI | 1467535799 |
|---|---|
| Doing Business As | BRIAN A JOHNSON MD |
| Entity Type | Organization |
| Authorized Contact | DIRENDIA SHACKELFORD Managed Care Specialist 800-654-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IN 5003424A) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-06-20 |