Individual
DR. KATIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
32060 LONG NECK RD, MILLSBORO, DE 19966-6228
(214) 820-3000
Mailing address
32060 LONG NECK RD, MILLSBORO, DE 19966-6228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10033996
TX
207R00000X
Internal Medicine Physician
C2-0012072
DE
207R00000X
Internal Medicine Physician
P3360
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
C2-0012072
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305214401
—
TX
01
—
P01105385
RAILROD MEDICARE
TX
Enumeration date
06/18/2009
Last updated
11/01/2019
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