# JOHNSON MEDICAL AND AESTHETICS

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

## Provider details

- **NPI number:** 1659748333
- **Authorized official:** DR. WILLIAM JOHNSON M.D. (CHIEF OFFICER)
- **Authorized official phone:** (912) 580-1516

## Contact information

- **Practice address:** 5500 FREDERICA RD, SUITE 2202, SAINT SIMONS ISLAND, GA 31522-9710
- **Practice address phone:** (912) 580-1551
- **Mailing address:** 5500 FREDERICA RD, SUITE 2202, SAINT SIMONS ISLAND, GA 31522-9710
- **Mailing address phone:** (912) 580-1551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 064997 | GA | Yes |

## Other

- **Enumeration date:** 08/28/2015
- **Last updated:** 08/28/2015