| Joe E Johnson, Jr Md Apmc | |
|
5001 Highway 190 East Service Rd Suite A3 Covington LA 70433-4930 | |
| (985) 893-9251 | |
| (985) 892-7893 |
| Full Name | Joe E Johnson, Jr Md Apmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5001 Highway 190 East Service Rd, Covington, Louisiana |
| Authorized Official Name and Position | Joe E Johnson (MD) |
| Authorized Official Contact | 9858939251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joe E Johnson, Jr Md Apmc Po Box 1855 Mandeville LA 70470-1855 Ph: (985) 893-9251 | Joe E Johnson, Jr Md Apmc 5001 Highway 190 East Service Rd Suite A3 Covington LA 70433-4930 Ph: (985) 893-9251 |
| NPI Number | 1205939253 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 04/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205939253 | NPI | - | NPPES |
| 1970930 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 019902 (Louisiana) | Primary |
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