Individual
JEFFERY CHAD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 MANCHESTER EXPY, STE 1007, COLUMBUS, GA 31904-6877
(706) 596-4170
(706) 322-8483
Mailing address
PO BOX 9086, COLUMBUS, GA 31908-9086
(706) 596-4170
(706) 322-8483
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101255770
VA
Other
Enumeration date
01/04/2007
Last updated
12/09/2015
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