| Doctor Name: | LEVIE G JOHNSON |
| NPI Number: | 1952310831 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 08482R |
| Business Practice Address: | 108 6th Ave Kinder, LA - 70648 |
| Business Phone Number: | 3377389476 |
| Business Fax Number: | 3377389410 |
| Mailing Address: | 1236 Marina Dr, SLIDELL |
| State: | LA |
| Postal Code: | 704589212 |
| Phone Number: | 9858562623 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 08482R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |