Doctor Name: | DR. ERIN YVONNE JOHNSON |
NPI Number: | 1306079165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | R2039 |
Business Practice Address: | 196 Bevins Ln F Georgetown, KY - 403248534 |
Business Phone Number: | 5028632818 |
Business Fax Number: | 5028632764 |
Mailing Address: | 196 Bevins Ln F, GEORGETOWN |
State: | KY |
Postal Code: | 403248534 |
Phone Number: | 5028632818 |
Fax Number: | 5028632764 |
NPI Enumeration Date: | 08/27/2009 |
NPI Last Update Date: | 10/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R2039 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |