Individual
ALAN J. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SCOTT & WHITE MEMORIAL HOSPITAL, 2401 S 31ST ST, ENT 4C, TEMPLE, TX 76508-0001
(254) 931-4974
(254) 743-0423
Mailing address
SCOTT & WHITE MEMORIAL HOSPITAL, 2401 S 31ST ST, ENT 4C, TEMPLE, TX 76508-0001
(254) 931-4974
(254) 743-0423
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
030108
GA
207YX0901X
Otology & Neurotology Physician
30108
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000361303C
—
GA
05
—
G30108
—
SC
Enumeration date
08/30/2006
Last updated
02/13/2013
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