NPI 1679069207 · live from the CMS NPI Registry
Ordia Dee Johnson
Internal Medicine, Gastroenterology in Pine Bluff, AR. National Provider Identifier 1679069207, active.
NPI record
| NPI | 1679069207 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 4800 S Hazel St, Pine Bluff, AR 71603 |
| Practice phone | 870-534-5533 |
| Enumerated | July 6, 2018 |
| Last updated | July 6, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 910131294 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.