Organization
FAMILY MEDICINE OF SARDIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN MICHAEL JOHNSON D.O. (PRESIDENT, OWNER)
(256) 593-9999
Entity
Organization
Contact information
Practice address
1180 SARDIS DR, SARDIS CITY, AL 35956-2139
(256) 593-9999
(256) 593-9141
Mailing address
PO BOX 1049, BOAZ, AL 35957-2201
(256) 593-9999
(256) 593-9141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO779
AL
Other
Enumeration date
12/04/2006
Last updated
12/11/2007
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