Individual
MICHAEL W JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 WINDSWEEP CT, PHENIX CITY, AL 36870-2336
(334) 297-5555
(334) 297-5525
Mailing address
7 WINDSWEEP CT, PHENIX CITY, AL 36870-2336
(334) 297-5555
(334) 297-5525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
022796
GA
207Q00000X
Family Medicine Physician
Primary
9782
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000016536
—
AL
05
—
00253118C
—
GA
01
—
51016536
BLUECROSS OF ALABAMA
AL
Enumeration date
06/07/2006
Last updated
04/08/2019
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