Individual
BOBBY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 SIVLEY RD, STE 450, HUNTSVILLE, AL 35801
(256) 551-4505
Mailing address
201 SIVLEY RD, STE 450, HUNTSVILLE, AL 35801
(256) 551-4505
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
10873
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000078423
—
AL
01
—
51078423
BCBS
AL
Enumeration date
05/10/2006
Last updated
01/19/2010
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