Male or Other

Larry R. Johnston M.D.

Family Medicine Physician in Albertville, AL(View on Map)

Full Name

Larry R Johnston M.D.

NPI Number

1023003019

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/15/2005

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

22124

Contact
Information

Purpose

Mailing
Location

Address

3442 US HIGHWAY 431
3442 US HIGHWAY 431

City

Albertville
Albertville

State

AL
AL

Postal Code

35950-0203
35950-0203

Country

US
US

Telephone Number

(256) 593-1234
(256) 593-1234

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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