Individual
JEFFREY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1201 SOMERVILLE RD SE, NORTH ALABAMA INTERNAL MEDICINE,PC, DECATUR, AL 35601-4340
(256) 350-1773
(256) 350-5520
Mailing address
1201 SOMERVILLE RD SE, NORTH ALABAMA INTERNAL MEDICINE,PC, DECATUR, AL 35601-4340
(256) 350-1773
(256) 350-5520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO701
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51004703
BLUE CROSS BLUE SHIELD
AL
01
—
7446374
AETNA
AL
Enumeration date
07/17/2006
Last updated
11/23/2010
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