| Stephanie M Johnson Md Llc | |
|
274 Hannah Ave Seymour IN 47274-4058 | |
| (812) 522-9761 | |
| (812) 522-9761 |
| Full Name | Stephanie M Johnson Md Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 274 Hannah Ave, Seymour, Indiana |
| Authorized Official Name and Position | Stephanie Michelle Johnson (SOLE EMPLOYEE) |
| Authorized Official Contact | 8125229761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie M Johnson Md Llc 274 Hannah Ave Seymour IN 47274-4058 Ph: (812) 522-9761 | Stephanie M Johnson Md Llc 274 Hannah Ave Seymour IN 47274-4058 Ph: (812) 522-9761 |
| NPI Number | 1629119177 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629119177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 01054624A (Indiana) | Primary |
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