Individual
CAROLYN M JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 ONE HEALING PL, TALLAHASSEE, FL 32308-4600
(850) 431-5360
Mailing address
211 AVENUE G, APALACHICOLA, FL 32320-1576
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301056679
MI
207VX0201X
Gynecologic Oncology Physician
277897
MA
207VX0201X
Gynecologic Oncology Physician
4301056679
MI
207VX0201X
Gynecologic Oncology Physician
Primary
ME144006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2656198
—
MI
Enumeration date
10/02/2006
Last updated
03/11/2020
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