Individual
REBECCA FLANNAGAN JOHNSON
Active
Individual
REBECCA FLANNAGAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.765
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131090
—
AL
Enumeration date
06/30/2011
Last updated
09/07/2011
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