Individual
ROBERT EUGENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1707 MEADOWS LN, SUITE C, VIDALIA, GA 30474-7200
(912) 537-3384
(912) 537-3351
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 537-4986
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
035071
GA
Other
Enumeration date
11/15/2006
Last updated
10/17/2019
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