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Individual

ALEX WALKER JOHNSON

Active
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Individual

ALEX WALKER JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12871
GA
207W00000X
Ophthalmology Physician
0102210338
VA
207W00000X
Ophthalmology Physician
12871
GA
207W00000X
Ophthalmology Physician
Primary
93824
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12871
GEORGIA RESIDENCY TRAINING PERMIT
GA
01
—
93824
SC MEDICAL LICENSE
SC
05
—
938240
—
SC
Enumeration date
06/03/2021
Last updated
09/14/2026
About Stedi
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