Individual
MARY CAITLYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1308 TUSCALOOSA AVE SW, BIRMINGHAM, AL 35211-1948
(205) 679-6325
Mailing address
1308 TUSCALOOSA AVE SW, BIRMINGHAM, AL 35211-1948
(205) 679-6325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45304
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/13/2021
Last updated
03/19/2025
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