Individual
DR. HENRY GOODWIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 E SOUTH BLVD STE 806, MONTGOMERY, AL 36116-2007
(334) 288-3400
(334) 288-0188
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10551
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000011009
—
AL
01
—
102I167972
MEDICARE
AL
01
—
1549806
CIGNA
AL
05
—
200580
—
AL
05
—
201274
—
AL
05
—
202207
—
AL
01
—
C7846
VIVA HEALTH
AL
01
—
P01873131
RR MEDICARE
AL
Enumeration date
10/04/2006
Last updated
07/13/2023
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