Individual
JEFFREY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1560 WESTMINSTER WAY, MADISON, GA 30650-6402
(706) 318-8632
Mailing address
1560 WESTMINSTER WAY, MADISON, GA 30650-6402
(706) 318-8632
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
210741
GA
Other
Enumeration date
09/01/2023
Last updated
01/16/2025
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