Individual
GARY D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 DOUGLAS PIKE, SMITHFIELD, RI 02917-1879
(401) 618-5507
(866) 228-6713
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD08010
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110047410A
—
MA
05
—
1841226867
—
RI
Enumeration date
06/23/2006
Last updated
12/18/2025
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