Individual
JARED M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3715 DAUPHIN ST, MOBILE, AL 36608-1771
(251) 410-4001
Mailing address
3715 DAUPHIN ST STE 7A, MOBILE, AL 36608-1775
(251) 410-4001
(251) 410-4002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO.3517
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/25/2022
Last updated
12/11/2025
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