Carl Johnson, M.D

NPI 1275525701 · on the registry since 2005 · sole proprietor

Practice

Address: 500 Health Center Dr
Suite 104
Mattoon, IL 61938
Phone: (217) 258-4080
Fax: (217) 258-4084
Organisation at this address: Urology Associates, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-01-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois