Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARVIN WADE JOHNSON SR., M.D.
Active Sole ProprietorDR. MARVIN WADE JOHNSON SR., M.D. is a Family Medicine healthcare provider located in LAKE BUTLER, Florida. NPI 1346244092 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKE BUTLER, FL
Registration Details
- NPI Number
- 1346244092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2005 (21.000007742221 yrs)
- Last Updated
- Jun 30, 2010
- License
-
ME0011466 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
850 E MAIN STLOT 1LAKE BUTLER, FL, 320541348Browse FL providers · Browse ZIP 32054
- Phone
- 3864962406
- Fax
- 3864963362
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LAKE BUTLER, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MARTHA REGINA LLOYD | — | 1669660965 |
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.