MEDICARE: JAMES WOODROW JOHNT 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
1	2083X0100X	Occupational Medicine Physician	21484	AL

General Provider Information

NPI Number	:	1316933997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES WOODROW JOHNT MD

Provider Business Mailing Address
First Line	:	380 WOODS COVE RD
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-2428
Country	:	US
Telephone Number	:	256-218-3860
Fax Number	:	256-218-3817

Provider Business Practice Location Address
First Line	:	380 WOODS COVE RD
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-2428
Country	:	US
Telephone Number	:	256-218-3860
Fax Number	:	256-218-3817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	07/08/2007

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