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Individual

DR. KRISTY DAWN JOHNSON-PICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1108 ROSS CLARK CIR, PALLIATIVE CARE OFFICE, DOTHAN, AL 36301-3022
(334) 793-8111
(334) 793-8992
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8111
(334) 793-8992

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRNUO1655
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
001139
AL
208M00000X
Hospitalist Physician
001139
AL

Other

Enumeration date
06/29/2007
Last updated
12/10/2015
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