Individual
JUDAH CHARLES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
811 13TH ST, SUITE 20, AUGUSTA, GA 30901-2700
(706) 722-3401
(706) 724-6540
Mailing address
811 13TH ST, SUITE 20, AUGUSTA, GA 30901-2700
(706) 722-3401
(706) 724-6540
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006258
GA
Other
Enumeration date
10/11/2011
Last updated
09/16/2024
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