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NPI Code Detail

MEDICARE: DR. BENJAMIN HARDY JOHNSON III M.D.

MEDICARE:  DR. BENJAMIN HARDY JOHNSON III M.D.
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
1174400000XSpecialist00009687AL

General Provider Information

NPI Number : 1194826875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN HARDY JOHNSON III M.D.
Provider Business Mailing Address
First Line : 1 OFFICE PARK CIR
Second Line : SUITE 200
City : BIRMINGHAM
State : AL
Zip : 35223-2514
Country : US
Telephone Number : 205-871-8307
Fax Number : 205-871-8328
Provider Business Practice Location Address
First Line : 1 OFFICE PARK CIR
Second Line : SUITE 200
City : BIRMINGHAM
State : AL
Zip : 35223-2514
Country : US
Telephone Number : 205-871-8307
Fax Number : 205-871-8328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BENJAMIN HARDY JOHNSON III M.D.” Practice Location

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