Individual
DR. GINA T. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 N CARROLLTON AVE, SUITE 103, NEW ORLEANS, LA 70119-5144
(504) 486-5151
Mailing address
1848 SQUIREWOOD DR E, HARVEY, LA 70058-7487
(504) 348-4255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024263
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489948
—
LA
Enumeration date
09/27/2006
Last updated
07/08/2007
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