Individual
MATT BRYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
400 E 10TH ST, ANNISTON, AL 36207-4716
(256) 235-5121
Mailing address
1607 SIBERT DR, GLENCOE, AL 35905-9694
(256) 490-7936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-146652
AL
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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