Individual
NICOLE BISHOP JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4300 W MAIN ST, SUITE 31, DOTHAN, AL 36305-1054
(334) 793-6511
(334) 793-4697
Mailing address
4300 W MAIN ST, SUITE 31, DOTHAN, AL 36305-1054
(334) 793-6511
(334) 793-4697
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00026481
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910756
—
AL
Enumeration date
10/11/2006
Last updated
03/11/2010
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