Individual
DR. EUNICE LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-6240
(606) 666-6118
Mailing address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-6240
(606) 666-6118
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
21653
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64216237
—
KY
Enumeration date
07/19/2005
Last updated
02/23/2012
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