Individual
CAROLYN MAUDE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 FITNESS WAY STE 2100, ATHENS, AL 35611-2494
(256) 262-6190
Mailing address
22906 CHERRY HILLS LN, ATHENS, AL 35613-8398
(931) 273-4263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-166502
AL
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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