# JOE E JOHNSON, JR MD APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205939253
- **Authorized official:** DR. JOE E JOHNSON JR. MD (MD)
- **Authorized official phone:** (985) 893-9251

## Contact information

- **Practice address:** 5001 HIGHWAY 190 EAST SERVICE RD, SUITE A3, COVINGTON, LA 70433-4930
- **Practice address phone:** (985) 893-9251
- **Practice address fax:** (985) 892-7893
- **Mailing address:** PO BOX 1855, MANDEVILLE, LA 70470-1855
- **Mailing address phone:** (985) 893-9251
- **Mailing address fax:** (985) 892-7893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 019902 | LA | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 04/01/2014