Individual
DR. GEORGE MICHAEL JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
705 BISHOP LN N, MOBILE, AL 36608-5838
(251) 343-5971
(251) 343-7589
Mailing address
PO BOX 8407, MOBILE, AL 36689-0407
(251) 343-5971
(251) 343-7589
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00041
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0495240001
DME PIN
AL
01
—
H589
MEDICARE GROUP
AL
Enumeration date
11/07/2005
Last updated
12/07/2007
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