Dr Eddie Glen Johnson Iii, MD in Shreveport, LA

Dr Eddie Glen Johnson Iii, MD is a General Practice physician based in Shreveport, Louisiana. Dr Eddie Glen Johnson Iii is licensed to practice in Louisiana (license number 013312) and his current practice location is 7330 Fern Ave Ste 1103, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at (318) 798-0635.

NPI number for Dr Eddie Glen Johnson Iii is 1962738500 and his current mailing address is 107 Grayson Cir, Bossier City, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962738500.

Contact Information

	Dr Eddie Glen Johnson Iii, MD
	7330 Fern Ave Ste 1103, Shreveport, LA 71105-4989
	(318) 798-0635
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Eddie Glen Johnson Iii
Gender	Male
Speciality	General Practice
Location	7330 Fern Ave Ste 1103, Shreveport, Louisiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1962738500
Provider Enumeration Date: 11/01/2009
Last Update Date: 11/01/2009

Medical Identifiers

Medical identifiers for Dr Eddie Glen Johnson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962738500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	013312 (Louisiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eddie Glen Johnson Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Eddie Glen Johnson Iii, MD 107 Grayson Cir, Bossier City, LA 71112-8605 Ph: (318) 458-2756	Dr Eddie Glen Johnson Iii, MD 7330 Fern Ave Ste 1103, Shreveport, LA 71105-4989 Ph: (318) 798-0635

Reviews and Comments

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Dr Eddie Glen Johnson Iii, MD - General Practice in Shreveport, LA