Derrick M Johnson in Montgomery - Physician Assistant

Derrick M Johnson - NPI 1588784565

Derrick M Johnson is a Physician Assistant in Montgomery, Alabama. Derrick M Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Derrick M Johnson is 1588784565. The last update date is 2014-01-10.

Derrick M Johnson's current location address is 454 Taylor Rd, Montgomery, Alabama. You can contact this provider via phone number 3346139000 and fax number 3345320056. The mailing address for Derrick M Johnson is 454 Taylor Rd, Montgomery, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Derrick M Johnson
Address 454 Taylor Rd, Montgomery, Alabama
Phone Number 3346139000
Fax Number 3345320056
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1588784565
Provider Enumeration Date 2007-03-31
Last Updated Date 2014-01-10

Provider Mailing Address Detail

Address 454 Taylor Rd
City Montgomery
State Alabama (AL)
Post Code 361173563
Phone Number 3346139000
Fax Number 3345320056

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 162
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Derrick M Johnson

What is the unique 10-digit identifier code assigned to Derrick M Johnson by the Centers for Medicare & Medicaid Services?

The Derrick M Johnson has been issued the NPI (National Provider Identifier) 1588784565 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Derrick M Johnson is physically located?

The Derrick M Johnson is situated at the following address: 454 Taylor Rd, Montgomery, AL 361173563.

What is Derrick M Johnson's area of expertise and its corresponding taxonomy classification?

The Derrick M Johnson's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1588784565 to Derrick M Johnson?

The Centers for Medicare & Medicaid Services assigned the 1588784565 to Derrick M Johnson on 2007-03-31.

When was the information regarding Derrick M Johnson most recently updated?

The details pertaining to the Derrick M Johnson, including its address, specialty, and other relevant information, were last refreshed on 2014-01-10.

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