Individual
ANTHONY GERARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 CHARLOTTE DR, NEW ORLEANS, LA 70122-2532
(504) 648-7956
Mailing address
22 CHARLOTTE DR, NEW ORLEANS, LA 70122-2532
(504) 648-7956
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
020613
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1998028
—
LA
Enumeration date
08/30/2006
Last updated
07/01/2015
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