Individual
DR. NATHAN WARREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D,M.D
Contact information
Practice address
1451 RIVER WALK CIR, BIRMINGHAM, AL 35216-6811
(205) 994-5832
Mailing address
1451 RIVER WALK CIR, BIRMINGHAM, AL 35216-6811
(205) 994-5832
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5686
AL
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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