Individual
JERRY LAMAR JOHNSTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4000
Mailing address
101 CATALPA ST, MONROE, LA 71201-7418
(318) 245-1863
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
326872
LA
207L00000X
Anesthesiology Physician
85513
SC
207L00000X
Anesthesiology Physician
E-13627
AR
Other
Enumeration date
03/31/2016
Last updated
10/05/2023
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