Individual
GEORGE V JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 354-5000
Mailing address
L-2603, PO BOX 600001, COLUMBUS, OH 43260-0001
(866) 871-7822
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35029242
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203524
BC/BS INDIVIDUAL PIN NO
OH
05
—
0187962
—
OH
05
—
6473326400
—
KY
Enumeration date
07/22/2005
Last updated
07/18/2007
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