DR. Eddie Glen Johnson, M.D. is a general practice in Shreveport, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee DR. Eddie Glen Johnson, M.D. NPI is 1962738500. 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:
7330 FERN AVE STE 1103
SHREVEPORT, LA
ZIP 71105-989
Phone: (318) 798-0635
The enumeration date for this NPI number is 11/1/2009 and was last updated on 11/1/2009.