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Individual
HOLLY BETH JOHNSON
Active
Individual
HOLLY BETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26021
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009961915
—
AL
01
—
51522332
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/14/2005
Last updated
02/20/2023
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