Individual
GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 975-7387
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43524
AL
Other
Enumeration date
04/08/2020
Last updated
06/17/2022
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