Carolyn M Johnston
Obstetrician & Gynecologist Gynecologic Oncologist
1775 One Healing Pl
Tallahassee
, Florida 32308-4600
Carolyn M Johnston
Obstetrician & Gynecologist Gynecologic Oncologist
1775 One Healing Pl
Tallahassee
, Florida 32308-4600
(734) 936-2047
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Carolyn M Johnston
- 211 Avenue G
- Apalachicola, FL
- Zip : 32320-1576
- Phone : (734) 936-2047
Second Address
- Carolyn M Johnston
- 1775 One Healing Pl
- Tallahassee, FL
- Zip : 32308-4600
- Phone : (850) 431-5360
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 4301056679 | MI |
| N | 207VX0201X | Gynecologic Oncologist | 277897 | MA |
| N | 207VX0201X | Gynecologic Oncologist | 4301056679 | MI |
| Y | 207VX0201X | Gynecologic Oncologist | ME144006 | FL |
National Provider Identifier
| NPI | 1417040544 |
|---|---|
| Provider Name | Carolyn M Johnston |
| First Address | Apalachicola, FL 32320-1576 |
| Second Address | Tallahassee, FL 32308-4600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 11/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2656198 | (05) | MI |
| E62014 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.