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Individual

STEPHEN KRAIG JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 877-1930
(205) 877-1865
Mailing address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 655-7830
(205) 655-7839

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00010139
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000039549
AL
01
051039549
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
04/06/2006
Last updated
02/23/2010
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