Individual
AMY D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
43 HIGH STREET, SOUTHCOAST PHYSICIAN SERVICES, INC., WAREHAM, MA 02750
(508) 961-5919
(508) 961-5916
Mailing address
370 FOUNCE CORNER ROAD, SOUTHCOAST PHYSICIAN SERVICES, INC., NO. DARTMOUTH, MA 02747
(508) 985-2000
(508) 985-2001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
44626
MA
208M00000X
Hospitalist Physician
Primary
44626
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090686
—
MA
01
—
J02275
BCBSMA
MA
Enumeration date
08/30/2006
Last updated
12/17/2008
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