EDDIE D. JOHNSON MD NPI 1275514978

NPI Information

Eddie D. Johnson, MD is a family medicine in Shreveport, LA. The provider is 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 is not limited by age, sex, organ system, or disease entity. Eddie D. Johnson, MD NPI is 1275514978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2508 BERT KOUNS LOOP
SUITE 102
SHREVEPORT, LA
ZIP 71118-133
Phone: (318) 671-1291
Fax: (318) 688-6014

The enumeration date for this NPI number is 11/9/2005 and was last updated on 12/28/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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