MR. Obie S. Johnson, BA

NPI #1922473966 in Thibodaux, Louisiana

Provider Information

NPI Number: 1922473966
Entity Type: Individual
Name: MR. Obie S. Johnson, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: BA
Enumeration Date: Dec 2, 2015
Last Updated: Dec 2, 2015

Practice Location

Address: 142 LAURA DR
Address 2: SUITE D
City: Thibodaux
State: Louisiana
ZIP Code: 70301-2988
Phone: (985) 446-4114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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