Stephanie M Johnson Md Llc | |
274 Hannah Ave Seymour IN 47274-4058 | |
(812) 522-9761 | |
(812) 522-9761 |
Full Name | Stephanie M Johnson Md Llc |
---|---|
Speciality | Family Medicine - Adult Medicine |
Location | 274 Hannah Ave, Seymour, Indiana |
Authorized Official Name and Position | Stephanie Michelle Johnson (SOLE EMPLOYEE) |
Authorized Official Contact | 8125229761 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stephanie M Johnson Md Llc 274 Hannah Ave Seymour IN 47274-4058 Ph: (812) 522-9761 | Stephanie M Johnson Md Llc 274 Hannah Ave Seymour IN 47274-4058 Ph: (812) 522-9761 |
NPI Number | 1629119177 |
---|---|
Provider Enumeration Date | 02/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629119177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 01054624A (Indiana) | Primary |
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