# VALLEY VASCULAR CONSULTANTS PC

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

## Provider details

- **NPI number:** 1306155460
- **Authorized official:** DR. RONNY CARL JOHNSON MD (PRESIDENT)
- **Authorized official phone:** (256) 265-7480

## Contact information

- **Practice address:** 201 SIVLEY RD SW STE 530, HUNTSVILLE, AL 35801-5163
- **Practice address phone:** (256) 265-7480
- **Practice address fax:** (256) 265-7481
- **Mailing address:** 201 SIVLEY RD SW STE 530, HUNTSVILLE, AL 35801-5163
- **Mailing address phone:** (256) 265-7480
- **Mailing address fax:** (256) 265-7481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 17567 | AL | — |
| 2086S0129X | Vascular Surgery Physician | 28901 | AL | — |
| 2086S0129X | Vascular Surgery Physician | 8023 | AL | Yes |

## Other

- **Enumeration date:** 10/06/2010
- **Last updated:** 07/27/2020