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Individual

CAROL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 930-2781
(205) 930-2505
Mailing address
2731 CHEROKEE DR, BIRMINGHAM, AL 35216-1007
(205) 441-6219

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-078067
AL

Other

Enumeration date
05/06/2010
Last updated
05/06/2010
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