# MINIMALLY INVASIVE & VASCULAR SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MIVS, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528946662
- **Authorized official:** DR. FREDERICK DWAYNE JOHNSON JR. MD (OWNER)
- **Authorized official phone:** (501) 348-5797

## Contact information

- **Practice address:** 1401 E JACKSON ST, THOMASVILLE, GA 31792-3938
- **Practice address phone:** (501) 348-5797
- **Mailing address:** PO BOX 5764, THOMASVILLE, GA 31758-5764
- **Mailing address phone:** (501) 348-5797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2025
- **Last updated:** 09/06/2025