Individual
DR. ALBERT WILLARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
109 3RD AVE NW, CULLMAN, AL 35055-3430
(256) 734-7585
Mailing address
PO BOX 1228, CULLMAN, AL 35056-1228
(256) 734-7585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1232
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051519986
BLUE CROSS&BLUE SHIELD
AL
Enumeration date
08/30/2006
Last updated
12/20/2019
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