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NPI Code Detail

MEDICARE: JOHANNA J ABERNATHY MD

MEDICARE: JOHANNA J ABERNATHY 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
1207V00000XObstetrics & Gynecology Physician20177IA

General Provider Information

NPI Number : 1811991698
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNA J ABERNATHY MD
Provider Business Mailing Address
First Line : 855 A AVE NE
Second Line : P O BOX 3080
City : CEDAR RAPIDS
State : IA
Zip : 52406-3080
Country : US
Telephone Number : 319-368-5500
Fax Number : 319-368-5503
Provider Business Practice Location Address
First Line : 855 A AVE NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5057
Country : US
Telephone Number : 319-368-5500
Fax Number : 319-368-5503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 11/23/2011

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Directions to “ JOHANNA J ABERNATHY MD” Practice Location

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