Individual
CAROL J JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
22 LEWIS BAY RD, PRIMARY CARE INTERNISTS, HYANNIS, MA 02601
(508) 862-5560
(508) 771-7321
Mailing address
22 LEWIS BAY RD, PRIMARY CARE INTERNISTS, HYANNIS, MA 02601
(508) 862-5560
(508) 771-7321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
346
MA
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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