Individual
WALTER HARVEY JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 6TH AVE S, SUITE 9100, BIRMINGHAM, AL 35233-1802
(205) 934-4948
(205) 212-3002
Mailing address
PO BOX 55823, BIRMINGHAM, AL 35255-5823
(205) 934-4948
(205) 212-3002
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
12619
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000083871
—
AL
01
—
00014896
MISSISSIPPI MEDICAID
AL
01
—
22070
HEALTHSPRING
AL
01
—
2510133
UHC
AL
01
—
51083871
BC BS
AL
01
—
5283380
AETNA
AL
01
—
C76721
VIVA
—
Enumeration date
06/26/2006
Last updated
01/09/2015
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