Individual
ERIC CHARLES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 PROVIDENCE PARK DRIVE E STE 102, MOBILE, AL 36695-4618
(251) 639-5070
(251) 634-2994
Mailing address
610 PROVIDENCE PARK DRIVE E STE 102, MOBILE, AL 36695-4618
(251) 639-5070
(251) 634-2994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00014861
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000093043
—
AL
Enumeration date
07/31/2006
Last updated
06/03/2019
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