EDDIE GLEN JOHNSON

SHREVEPORT, LA
NPI1962738500
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: LA  013312)
Enumeration Date2009-11-01
Last Update Date2009-11-01
Business Address
Dr. EDDIE GLEN JOHNSON M.D.
7330 FERN AVE STE 1103
SHREVEPORT, LA 71105-4989
Phone number: 318-798-0635
Mailing Address
Dr. EDDIE GLEN JOHNSON M.D.
107 GRAYSON CIR
BOSSIER CITY, LA 71112-8605
Phone number: 318-458-2756
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