Individual
JEREMY TYLER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801
(256) 551-4555
Mailing address
701 DOROTHY FORD LN SW, HUNTSVILLE, AL 35801-7513
(407) 451-4720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36023
AL
Other
Enumeration date
07/15/2009
Last updated
06/05/2019
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