Individual
MR. CARL L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5320 W 12TH ST, LITTLE ROCK, AR 72204
(501) 663-6262
(501) 663-3189
Mailing address
5320 W 12TH ST, LITTLE ROCK, AR 72204
(501) 663-6262
(501) 663-3189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C7105
AR
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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