Clancy Hagedorn Johnson in Cullman - Procedural Dermatology
Clancy Hagedorn Johnson - NPI 1275591315
Clancy Hagedorn Johnson is a Procedural Dermatology in Cullman, Alabama. Clancy Hagedorn Johnson practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Clancy Hagedorn Johnson is 1275591315. The last update date is 2016-05-16.
Clancy Hagedorn Johnson's current location address is 1300 Bridge Creek Dr. Ne, Cullman, Alabama. You can contact this provider via phone number 2567377546 and fax number 2568416180. The mailing address for Clancy Hagedorn Johnson is 1300 Bridge Creek Dr. Ne, Cullman, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clancy Hagedorn Johnson |
|---|---|
| Address | 1300 Bridge Creek Dr. Ne, Cullman, Alabama |
| Phone Number | 2567377546 |
| Fax Number | 2568416180 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275591315 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2016-05-16 |
Provider Mailing Address Detail
| Address | 1300 Bridge Creek Dr. Ne |
|---|---|
| City | Cullman |
| State | Alabama (AL) |
| Post Code | 35055 |
| Phone Number | 2567377546 |
| Fax Number | 2568416180 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 27325 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00390029 | MEDICARE RAILROAD CARRIER PTAN | ||
| 9937754 | AL | -- | |
| 51557589 | AL | BLUE CROSS BLUE SHIELD | |
| CC9291 | AL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clancy Hagedorn Johnson by the Centers for Medicare & Medicaid Services?
The Clancy Hagedorn Johnson has been issued the NPI (National Provider Identifier) 1275591315 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Clancy Hagedorn Johnson?
The Clancy Hagedorn Johnson is physically situated at 1300 Bridge Creek Dr. Ne, in the city of Cullman, state of AL, with the postal code 35055.
What is Clancy Hagedorn Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clancy Hagedorn Johnson's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
On what date did the Clancy Hagedorn Johnson receive the assignment of its 1275591315 from the Centers for Medicare & Medicaid Services?
The Clancy Hagedorn Johnson was issued its 1275591315 by the Centers for Medicare & Medicaid Services on 2006-05-01.
When was the Clancy Hagedorn Johnson's information last updated?
The Clancy Hagedorn Johnson's information was last updated on 2016-05-16.