NPI 1306005087

Sundra Renee Johnson

Practitioner Military Health Care Provider Tuscaloosa, AL

Practice location

Address: 1414 26th St 1414 26th Street, Tuscaloosa, AL 35401-6642
Phone: (205) 752-6081

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 102375 (AL)

Other Military Health Care Provider providers in Alabama →

Community Health Worker

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Alabama →

Registry record

NPI: 1306005087
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2008
Record last updated: 6 Jun 2008

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.