Individual
ADRIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4012 CARTER ST, VIDALIA, LA 71373-3013
(318) 336-8383
(318) 336-8484
Mailing address
4012 CARTER ST, VIDALIA, LA 71373-3013
(318) 336-8383
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
08/21/2019
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