Individual
DR. JAMIE DEVON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1102 HACKBERRY LN, TUSCALOOSA, AL 35401-3115
(205) 349-4716
(205) 349-4718
Mailing address
1102 HACKBERRY LN, TUSCALOOSA, AL 35401-3115
(205) 349-4716
(205) 349-4718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4710
AL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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