# JOHNSON J THOTTAM MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144594813
- **Authorized official:** DR. JOHNSON JOHN THOTTAM M.D (PRESIDENT)
- **Authorized official phone:** (330) 492-8521

## Contact information

- **Practice address:** 4800 HIGBEE AVE NW, CANTON, OH 44718-2528
- **Practice address phone:** (330) 492-8521
- **Practice address fax:** (330) 492-1967
- **Mailing address:** 4800 HIGBEE AVE NW, CANTON, OH 44718-2528
- **Mailing address phone:** (330) 492-8521
- **Mailing address fax:** (330) 492-1967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 037564 | OH | Yes |

## Other

- **Enumeration date:** 02/28/2012
- **Last updated:** 02/28/2012