Individual
DR. JAMES LEWIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 MCCOY AVE, HEART CARE ASSOCIATES, PSC, MADISONVILLE, KY 42431-2867
(270) 821-0677
(270) 821-2539
Mailing address
44 MCCOY AVE, BOX 9, HEART CARE ASSOCIATES, PSC, MADISONVILLE, KY 42431-2867
(270) 821-0677
(270) 821-2539
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20960
KY
207RC0000X
Cardiovascular Disease Physician
MD0000036916
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000670343
ANTHEM BLUE CROSS AND BLUE SHIELD
KY
05
—
64209604
—
KY
Enumeration date
02/24/2006
Last updated
03/16/2011
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