Dr MARVIN W JOHNSON is a male medical professional, specializing in Family Medicine. He graduated in 1960 from University Of Alabama School Of Medicine.
850 E MAIN ST
SUITE 1
LAKE BUTLER
FL
320541348
Tel: 3864962406
| Npi | 1346244092 |
| Pac Id | 1355473638 |
| Professional Enrollment Id | I20100722000251 |
| Last Name | JOHNSON |
| First Name | MARVIN |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1960 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | EMERGENCY MEDICINE |
| Secondary Specialty 2 | GERIATRIC MEDICINE |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | EMERGENCY MEDICINE, GERIATRIC MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 850 E MAIN ST |
| Line 2 Street Address | SUITE 1 |
| Marker Of Address Line 2 Suppression | |
| City | LAKE BUTLER |
| State | FL |
| Zip Code | 320541348 |
| Phone Number | 3864962406 |
| Hospital Affiliation Ccn 1 | 101303 |
| Hospital Affiliation Lbn 1 | LAKE BUTLER HOSPITAL |
| Hospital Affiliation Ccn 2 | 101310 |
| Hospital Affiliation Lbn 2 | SHANDS STARKE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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