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Individual

HOLLY BETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1010 1ST ST N STE 350, ALABASTER, AL 35007-8619
(205) 679-6326
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26021
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009961915
AL
01
51522332
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/14/2005
Last updated
02/20/2023
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