Individual
JOHNNY L GAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
216 CORDER RD, WARNER ROBINS, GA 31088
(478) 923-5872
(478) 922-9020
Mailing address
216 CORDER RD, WARNER ROBINS, GA 31088-3604
(478) 923-5872
(478) 922-9020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
021454
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00265493A
—
GA
01
—
180045605
RR MEDICARE
GA
01
—
480632
BCBS OF GA
GA
01
—
483123
AETNA HEALTHCARE
GA
Enumeration date
06/13/2005
Last updated
06/13/2018
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