Individual provider · Type 1 NPI

Carl Johnson Jr., M.D./PH.D.

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1134486764 Active

Practice location

625 19th Street South
Birmingham, AL 35249-1912

Call (205) 934-9600 Map

Mailing address

625 19th St S
Birmingham, AL 35249-1912

Other practice locations

  • 3000 Arlington Ave, Ms 1050, Toledo, OH 43614-2595 · (419) 383-4244

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134486764

Carl Johnson Jr., M.D./PH.D.'s National Provider Identifier is 1134486764, issued on Apr 20, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on May 28, 2019.