| Steve D. Johnson M.d., P.c. | |
|
701 19th St E Jasper AL 35501-5503 | |
| (205) 221-1516 | |
| (205) 387-9539 |
| Full Name | Steve D. Johnson M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 19th St E, Jasper, Alabama |
| Authorized Official Name and Position | Amanda Keeton (OFFICE MANAGER) |
| Authorized Official Contact | 2052211516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steve D. Johnson M.d., P.c. 701 19th St E Jasper AL 35501-5503 Ph: (205) 221-1516 | Steve D. Johnson M.d., P.c. 701 19th St E Jasper AL 35501-5503 Ph: (205) 221-1516 |
| NPI Number | 1982261095 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Medicare PECOS PAC ID | 9436112463 |
|---|---|
| Medicare Enrollment ID | O20041110000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982261095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Steve D Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144338880 PECOS PAC ID: 3476516402 Enrollment ID: I20041110000369 |
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