Individual
LAURA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
70 PLAZA DR, PELL CITY, AL 35125-9314
(205) 814-9284
Mailing address
224 BENTLEY CIR, SHELBY, AL 35143-7054
(205) 383-5610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44605
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2019
Last updated
02/01/2023
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