Individual
DR. TIM D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6220 PERKINS ROAD, BATON ROUGE, LA 70808-4120
(225) 768-7777
(225) 214-3400
Mailing address
6220 PERKINS ROAD, BATON ROUGE, LA 70808-4120
(225) 768-7777
(225) 214-3400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
016429
LA
207W00000X
Ophthalmology Physician
Primary
016429
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361101
—
LA
Enumeration date
07/07/2006
Last updated
05/03/2019
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