Individual
DR. JOANN ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 BOB WALLACE AVE SW, SUITE E, HUNTSVILLE, AL 35801-3847
(256) 539-5339
Mailing address
101 BOB WALLACE AVE SW, SUITE E, HUNTSVILLE, AL 35801-3847
(256) 539-5339
(256) 536-5111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4556
AL
208000000X
Pediatrics Physician
Primary
AL4556
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1403382
FIRST HEALTH
AL
01
—
4483860
AETNA
AL
01
—
51010283
BLUE CROSS BLUE SHIELD
AL
01
—
51518176
BLUE CROSS BLUE SHIELD
AL
05
—
529702470
—
AL
Enumeration date
11/21/2005
Last updated
04/05/2022
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