Individual
JEREMY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1016 WINDING WAY DR, GEORGETOWN, TX 78628-5201
(210) 623-0293
Mailing address
1016 WINDING WAY DR, GEORGETOWN, TX 78628-5201
(210) 623-0293
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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