Individual
DR. MARLIN S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
215 CONSTITUTION DR, THOMASVILLE, GA 31757-4901
(229) 226-2386
(229) 226-9838
Mailing address
215 CONSTITUTION DR, THOMASVILLE, GA 31757-4901
(229) 226-2386
(229) 226-9838
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0013177
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197090698A
—
GA
05
—
197090698B
—
GA
05
—
197090698C
—
GA
Enumeration date
08/20/2006
Last updated
10/18/2016
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