DR. Carl R Johnson, M.D.

NPI #1275525701 in Mattoon, Illinois

Provider Information

NPI Number: 1275525701
Entity Type: Individual
Name: DR. Carl R Johnson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Aug 19, 2005
Last Updated: Jan 27, 2015

Practice Location

Address: 500 HEALTH CENTER DR
Address 2: SUITE 104
City: Mattoon
State: Illinois
ZIP Code: 61938-9258
Phone: (217) 258-4080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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