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Individual

CAROL M. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1022 1ST ST N, SUITE 400, ALABASTER, AL 35007-8706
(205) 664-7570
(205) 664-7584
Mailing address
1022 1ST ST N, SUITE 400, ALABASTER, AL 35007-8706
(205) 664-7570
(205) 664-7584

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11601
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-07223
BLUE CROSS PROVIDER NUMBER
AL
Enumeration date
08/30/2006
Last updated
05/01/2008
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