Individual
DR. ERIC D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 WAL-MART PLAZA RD UNIT #4, MONTICELLO, KY 42633-2314
(606) 340-0009
(606) 340-0113
Mailing address
75 WAL-MART PLAZA RD UNIT #4, MONTICELLO, KY 42633-2314
(606) 340-0009
(606) 340-0113
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33556
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64353568
—
KY
01
—
P00839671
RAILROAD MEDICARE
KY
Enumeration date
12/04/2007
Last updated
04/29/2024
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