Individual
WILLIAM EARLE JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1855 SPRINGHILL AVE, MOBILE, AL 36607-2301
(251) 471-3544
(251) 476-7254
Mailing address
1855 SPRINGHILL AVE, MOBILE, AL 36607-2301
(251) 471-3544
(251) 476-7254
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
00012735
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
00012735
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000016030
—
AL
01
—
510-16030
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/14/2005
Last updated
05/26/2016
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