Healthcare Provider Details

I. General information

NPI: 1326066184
Provider Name (Legal Business Name): DAVID PAUL JOHNSON R, MR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12119 US HIGHWAY 431
GUNTERSVILLE AL
35976-9344
US

IV. Provider business mailing address

201 MITCHELL BLVD
GADSDEN AL
35904-3908
US

V. Phone/Fax

Practice location:
  • Phone: 256-894-4440
  • Fax: 256-894-4474
Mailing address:
  • Phone: 256-543-8064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number290255
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number290255
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: