Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLANCY HAGEDORN JOHNSON, M.D.
Active Sole ProprietorDR. CLANCY HAGEDORN JOHNSON, M.D. is a Dermatology healthcare provider located in CULLMAN, Alabama. NPI 1275591315 is currently active in the NPPES registry. Verify at CMS.
Dermatology · CULLMAN, AL
Registration Details
- NPI Number
- 1275591315
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2006 (20.297858017908 yrs)
- Last Updated
- May 16, 2016
- Licenses
-
0027325 (AL)00027325 (AL)00027325 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1300 BRIDGE CREEK DR. NESUITE ACULLMAN, AL, 35055Browse AL providers · Browse ZIP 35055
- Phone
- 2567377546
- Fax
- 2568416180
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Procedural Dermatology
Other Dermatology Providers in CULLMAN, AL
| Name | Credential | NPI |
|---|---|---|
| STEVEN MARK SKINNER | M.D. | 1295727048 |
| SCARLETTE D SMITH | M.D. | 1386636132 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.