Individual
JEFFREY A JOHNSON
Active
Individual
JEFFREY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13364
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111172
—
MS
01
—
110069593
RAILROAD MEDICARE
—
05
—
1343234
—
LA
01
—
1558953
AMERICAN ADMIN GROUP
MS
Enumeration date
08/18/2006
Last updated
07/02/2020
Update your record
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