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Individual
DAVID BRYAN JOHNSON
Active
Individual
DAVID BRYAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049908
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000905121C
MEDICAID GA
GA
01
—
0102830
UNITED HEALTHCARE
GA
01
—
841074
BLUE CROSS BLUE SHIELD
GA
01
—
89064FN
MEDICAID NC
NC
01
—
P00048268
RAILROAD MEDICARE
GA
Enumeration date
12/29/2005
Last updated
10/08/2015
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