Individual
SHAMALON R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 CARONDELET ST, NEW ORLEANS, LA 70130-5827
(504) 517-3671
Mailing address
2209 BARONNE ST, NEW ORLEANS, LA 70113-1501
(504) 909-1027
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.200773
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1075302
—
LA
Enumeration date
03/12/2007
Last updated
06/15/2020
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