Individual
MR. CORY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2133 E ABERDEEN DR, MONTGOMERY, AL 36116-1307
(334) 294-6032
Mailing address
150 E FLEMING RD, 2133 EAST ABERDEEN DR, MONTGOMERY, AL 36105-3208
(334) 294-6032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11865
AL
343900000X
Non-emergency Medical Transport (VAN)
11865
AL
Other
Enumeration date
08/15/2013
Last updated
12/17/2015
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