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1588784565
DERRICK M JOHNSON
MONTGOMERY, AL
NPI
1588784565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL 162)
Enumeration Date
2007-03-31
Last Update Date
2014-01-10
Business Address
Mr. DERRICK M JOHNSON PA
454 TAYLOR RD
MONTGOMERY, AL 36117-3563
Phone number: 334-613-9000
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Mailing Address
Mr. DERRICK M JOHNSON PA
454 TAYLOR RD
MONTGOMERY, AL 36117-3563
Phone number: 334-613-9000
Copy
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