Organization
JOE E JOHNSON, JR MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE E JOHNSON JR. MD (MD)
(985) 893-9251
Entity
Organization
Contact information
Practice address
5001 HIGHWAY 190 EAST SERVICE RD, SUITE A3, COVINGTON, LA 70433-4930
(985) 893-9251
(985) 892-7893
Mailing address
PO BOX 1855, MANDEVILLE, LA 70470-1855
(985) 893-9251
(985) 892-7893
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019902
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1970930
—
LA
Enumeration date
09/06/2006
Last updated
04/01/2014
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