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Organization
MIDDLE GEORGIA ALLERGY AND ASTHMA LLC
Active
Organization
MIDDLE GEORGIA ALLERGY AND ASTHMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY JOHNSON M.D. (PHYSICIAN)
(478) 353-1058
Entity
Organization
Contact information
Practice address
229 INDUSTRIAL BLVD, DUBLIN, GA 31021-2969
(478) 353-1058
(478) 238-0841
Mailing address
229 INDUSTRIAL BLVD, DUBLIN, GA 31021-2969
(478) 353-1058
(478) 238-0841
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
64841
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110844P
—
GA
01
—
202I032517
MEDICARE PTAN
GA
Enumeration date
01/05/2015
Last updated
01/27/2021
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