Individual
DR. AMY L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2519 COLLEGE AVE, CONWAY, AR 72034-6135
(501) 450-3920
(501) 450-7718
Mailing address
2519 COLLEGE AVE, CONWAY, AR 72034-6135
(501) 450-3920
(501) 450-7718
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E-4016
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154394001
—
AR
Enumeration date
06/17/2005
Last updated
06/24/2021
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