Individual
CAROLE LEA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1733 W MAIN ST STE 200, DOTHAN, AL 36301-1345
(334) 677-1690
(334) 699-1465
Mailing address
1733 W MAIN ST STE 200, DOTHAN, AL 36301-1345
(334) 677-1690
(334) 991-4656
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18456
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512-42252
BCBS
AL
Enumeration date
01/17/2006
Last updated
11/03/2021
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