Individual
DR. SCOTT RAYMOND JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2712 HIGHWAY 34 E, NEWNAN, GA 30265
(770) 304-0082
Mailing address
1725 STARK AVE, COLUMBUS, GA 31906-1445
(706) 221-6040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012263
GA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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