Wilborn, Johnny R

Wilborn, Johnny R is an individual health care provider with primary practice located at 100 Medical Center Dr #207, Gadsden AL 35903-1134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilborn, Johnny R can be contacted via phone (256) 492-4001.

Contact Information

Primary practice address
100 Medical Center Dr #207 Gadsden AL 35903-1134
Phone: (256) 492-4001
Fax: (256) 492-4031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9133 Alabama

Profile Details

NPI number 1558441444
LBN Legal business name Wilborn, Johnny R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jun 23rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558441444 NPPES
Alabama Other 515-95241 AL BCBS
Alabama MEDICAID 1558441444 / 109107 AL BCBS

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