Marvin Wade Johnson in Lake Butler - Family Medicine
Marvin Wade Johnson - NPI 1346244092
Marvin Wade Johnson is a Family Medicine in Lake Butler, Florida. Marvin Wade Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Marvin Wade Johnson is 1346244092. The last update date is 2010-06-30.
Marvin Wade Johnson's current location address is Po Box 478, Lake Butler, Florida. You can contact this provider via phone number 3864962406 and fax number 3864963362. The mailing address for Marvin Wade Johnson is Po Box 478, Lake Butler, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin Wade Johnson |
|---|---|
| Address | Po Box 478, Lake Butler, Florida |
| Phone Number | 3864962406 |
| Fax Number | 3864963362 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1346244092 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2010-06-30 |
Provider Mailing Address Detail
| Address | Po Box 478 |
|---|---|
| City | Lake Butler |
| State | Florida (FL) |
| Post Code | 3205404780 |
| Phone Number | 3864962406 |
| Fax Number | 3864963362 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME0011466 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 65935500 | FL | -- | |
| 53331 | FL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Marvin Wade Johnson by the Centers for Medicare & Medicaid Services?
The Marvin Wade Johnson has been assigned the NPI (National Provider Identifier) 1346244092. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Marvin Wade Johnson is physically located?
The Marvin Wade Johnson is physically situated at the following address: Po Box 478, Lake Butler, FL, 3205404780.
What is the area of specialization for Marvin Wade Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marvin Wade Johnson is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1346244092 to Marvin Wade Johnson?
The Centers for Medicare & Medicaid Services assigned the 1346244092 to Marvin Wade Johnson on 2005-06-10.
As of what date was the information pertaining to Marvin Wade Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marvin Wade Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-06-30.