Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDDIE GLEN JOHNSON III, M.D.
Active Sole ProprietorDR. EDDIE GLEN JOHNSON III, M.D. is a General Practice healthcare provider located in SHREVEPORT, Louisiana. NPI 1962738500 is currently active in the NPPES registry. Verify at CMS.
General Practice · SHREVEPORT, LA
Registration Details
- NPI Number
- 1962738500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2009 (16.75901946873 yrs)
- Last Updated
- Nov 1, 2009
- License
-
013312 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7330 FERN AVE STE 1103SHREVEPORT, LA, 711054989Browse LA providers · Browse ZIP 71105
- Phone
- 3187980635
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| JEAN WEDNER ROUSSEAU | MD | 1750485900 |
| JULANA MONTI | MD | 1538302971 |
| RILEY SCHAAP | — | 1306580279 |
| MRS. BETSY EMANUEL BALL | MD | 1457224578 |
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.