Individual
TERRIE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME87569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268732100
—
FL
01
—
291325
AVMED
—
01
—
5720771
AETNA
—
01
—
82186
BLUECROSS BLUESHIELD
—
Enumeration date
10/18/2005
Last updated
04/23/2014
Update your record
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