Dr Michael L Johnson, MD | |
4410 Watermelon Rd, Northport, AL 35473-5204 | |
(205) 345-1520 | |
(205) 345-1761 |
Full Name | Dr Michael L Johnson |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 4410 Watermelon Rd, Northport, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114968443 | NPI | - | NPPES |
051043258 | Other | AL | BCBS AL |
000043258 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 00007004 (Alabama) | Primary |
Entity Name | Alabama Dermatology Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033128897 PECOS PAC ID: 4385633908 Enrollment ID: O20040510000498 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael L Johnson, MD 4410 Watermelon Rd, Northport, AL 35473-5204 Ph: (205) 345-1520 | Dr Michael L Johnson, MD 4410 Watermelon Rd, Northport, AL 35473-5204 Ph: (205) 345-1520 |
Dr. Cynthia C Lucy, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 | |
Dr. Robert D Griffith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 | |
Dr. Charles E Gambla, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 | |
Dr. Jeffery C Weeks, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 | |
Dr. Karen Dietrich Walker, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 | |
Dr. David B Jackson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 |