Provider Demographics
NPI:1043209703
Name:JOHNS, JOEL T (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:T
Last Name:JOHNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:HOLLY POND
Mailing Address - State:AL
Mailing Address - Zip Code:35083-0056
Mailing Address - Country:US
Mailing Address - Phone:256-887-4996
Mailing Address - Fax:877-803-2404
Practice Address - Street 1:2035 AL HIGHWAY 157
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-0687
Practice Address - Country:US
Practice Address - Phone:256-887-4996
Practice Address - Fax:877-803-2404
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26050207R00000X
TN37814207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine