Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD WALLACE JOHNSON III, M.D.
ActiveDR. EDWARD WALLACE JOHNSON III, M.D. is a Family Medicine healthcare provider located in BOSSIER CITY, Louisiana. NPI 1285073890 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1285073890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2013 (13.148702959733 yrs)
- Last Updated
- Oct 23, 2023
- Licenses
-
23591 (MS)338347 (LA)
Practice Information
- Address
-
2703 BEENE BLVDBOSSIER CITY, LA, 711115491Browse LA providers · Browse ZIP 71111
- Phone
- 3186814515
- Fax
- 3186814514
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in BOSSIER CITY, LA
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM F. MARANTO | M.D. | 1124016985 |
| ROBERT KIRK SAUCIER | M.D. | 1659369411 |
| MICHAEL ALON ANGELO | M.D. | 1295723955 |
| PATRICK H DEERE | M.D. | 1477526275 |
| DR. AARON L. LIRETTE | MD | 1194794800 |
| CORINE H. BOWMAN | MD | 1841241007 |
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.