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Individual

ANDREANA MEGAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2525 US HIGHWAY 431, SUITE 200, BOAZ, AL 35957-5934
(256) 840-3396
(256) 840-3394
Mailing address
2525 US HIGHWAY 431, SUITE 200, BOAZ, AL 35957-5934
(256) 840-3396
(256) 840-3394

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD31039
AL
207V00000X
Obstetrics & Gynecology Physician
ME106466
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
TRN11180
FL

Other

Enumeration date
09/04/2008
Last updated
08/18/2011
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