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NPI Code Detail

MEDICARE: JEFFREY A JOHNSON D.O.

MEDICARE:   JEFFREY A JOHNSON  D.O.
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
1207R00000XInternal Medicine PhysicianDO701AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151004703OTHERALBLUE CROSS BLUE SHIELD
27446374OTHERALAETNA

General Provider Information

NPI Number : 1992723274
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY A JOHNSON D.O.
Provider Business Mailing Address
First Line : 1201 SOMERVILLE RD SE
Second Line : NORTH ALABAMA INTERNAL MEDICINE,PC
City : DECATUR
State : AL
Zip : 35601-4340
Country : US
Telephone Number : 256-350-1773
Fax Number : 256-350-5520
Provider Business Practice Location Address
First Line : 1201 SOMERVILLE RD SE
Second Line : NORTH ALABAMA INTERNAL MEDICINE,PC
City : DECATUR
State : AL
Zip : 35601-4340
Country : US
Telephone Number : 256-350-1773
Fax Number : 256-350-5520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 11/23/2010

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Directions to “ JEFFREY A JOHNSON D.O.” Practice Location

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