Individual
DOUGLAS S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4885 RIVERSIDE DR STE 101, MACON, GA 31210-1164
(478) 722-9865
(866) 494-6123
Mailing address
4885 RIVERSIDE DR STE 101, MACON, GA 31210-1164
(478) 722-9865
(866) 494-6123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009559
GA
Other
Enumeration date
10/24/2006
Last updated
09/22/2024
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