Individual
JOHNNA DENISE LAING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
Mailing address
PO BOX 680060, FRANKLIN, TN 37068-0060
(877) 848-1457
(659) 235-6176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
127193
GA
207Q00000X
Family Medicine Physician
RN127193
GA
208M00000X
Hospitalist Physician
RN127193
GA
363LF0000X
Family Nurse Practitioner
Primary
3-000462
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11DO266342
CLIA LAB NUMBER
GA
05
—
642318048A
—
GA
01
—
GRP1474
MEDICARE GROUP NUMBER
GA
Enumeration date
10/26/2006
Last updated
07/17/2026
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