NPI 1134955099
Chad Johnson
Practice location
- Address
- 1615 Martin Luther King Blvd, Malvern, AR 72104-2233
- Phone
- (501) 332-5236
- Mailing address
- 125 Wellness Way, Hot Springs, AR 71913-6478
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1134955099
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Sep 2024
- Record last updated
- 16 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.