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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SUNDRA RENEE JOHNSON

Active Sole Proprietor

MS. SUNDRA RENEE JOHNSON is a Military Health Care Provider healthcare provider located in TUSCALOOSA, Alabama. NPI 1306005087 is currently active in the NPPES registry. Verify at CMS.

Military Health Care Provider · TUSCALOOSA, AL

Registration Details

NPI Number
1306005087
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2008 (18.2202589512 yrs)
Last Updated
Jun 6, 2008
License
102375 (AL)
Sole Proprietor
Yes

Practice Information

Address
1414 26TH ST
1414 26TH STREET
TUSCALOOSA, AL, 354016642
Browse AL providers · Browse ZIP 35401
Phone
2057526081
Primary Specialty
Military Health Care Provider
171000000X
Additional Specialty
Community Health Worker
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.