Individual
RAY EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
017835
GA
207RI0011X
Interventional Cardiology Physician
Primary
27647
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00222384A
—
GA
01
—
2089836
AETNA HMO
GA
01
—
237923
BCBS
GA
01
—
2671375-002
CIGNA
GA
01
—
4115000
AETNA PPO
GA
05
—
G17835
—
SC
Enumeration date
07/17/2006
Last updated
12/27/2023
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