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NPI Code Detail

MEDICARE: DR. JUDY G JOHNSON MD

MEDICARE:  DR. JUDY G JOHNSON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician10027RLA

Other Identifiers

General Provider Information

NPI Number : 1275574246
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDY G JOHNSON MD
Provider Business Mailing Address
First Line : 1037 ELEONORE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-4310
Country : US
Telephone Number : 504-891-0977
Fax Number :
Provider Business Practice Location Address
First Line : 1037 ELEONORE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-4310
Country : US
Telephone Number : 504-891-0977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 09/14/2010

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Directions to “ DR. JUDY G JOHNSON MD” Practice Location

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