Individual
THOMAS GREGORY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 N 4TH ST, OAKLAND, MD 21550-1371
(301) 334-8171
(301) 334-1807
Mailing address
311 N 4TH ST, OAKLAND, MD 21550-1371
(301) 334-8171
(301) 334-1807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D15333
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049023000
—
WV
05
—
410201100
—
MD
Enumeration date
08/31/2005
Last updated
04/18/2022
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