Organization
DR. WARREN H. JOHNSON, PODIATRIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN J. JOHNSON PH.D. (VP/ADMINISTRATOR)
(504) 286-0202
Entity
Organization
Contact information
Practice address
6305 ELYSIAN FIELDS AVE, SUITE 204, NEW ORLEANS, LA 70122-4245
(504) 286-0202
(504) 286-0702
Mailing address
6305 ELYSIAN FIELDS AVE, SUITE 204, NEW ORLEANS, LA 70122-4245
(504) 286-0202
(504) 286-0702
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
207800
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1969435
—
LA
Enumeration date
05/07/2012
Last updated
05/07/2012
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