Individual
MARTIN LEWIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3633 CENTRAL AVE, SUITE N, HOT SPRINGS, AR 71913-6475
(501) 623-6100
(501) 623-6187
Mailing address
3633 CENTRAL AVE, SUITE N, HOT SPRINGS, AR 71913-6475
(501) 623-6100
(501) 623-6187
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
018949
LA
207N00000X
Dermatology Physician
Primary
E-5113
AR
207N00000X
Dermatology Physician
M6214
TX
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
15320
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166140001
—
AR
01
—
E5113
STATE LICENSE
AR
Enumeration date
09/12/2005
Last updated
08/20/2025
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