Individual
DR. MARY CARLETON JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 AIRPORT BLVD STE B321, MOBILE, AL 36608-6703
(251) 633-0793
(251) 633-0736
Mailing address
6701 AIRPORT BLVD STE B321, MOBILE, AL 36608-6703
(251) 633-0793
(251) 633-0736
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
44776
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287573
—
AL
Enumeration date
05/26/2018
Last updated
02/16/2023
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