Individual
STEPHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 OGLETHORPE AVE, SUITE 2000, ATHENS, GA 30606-2179
(706) 543-6261
Mailing address
1500 OGLETHORPE AVE, SUITE 2000, ATHENS, GA 30606-2179
(706) 543-6261
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
RN083477
GA
Other
Enumeration date
06/10/2008
Last updated
03/03/2014
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