Individual
DR. BETHANY JEAN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1134
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME144067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107199600
—
FL
Enumeration date
04/04/2017
Last updated
08/02/2024
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