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Individual

GREGORY G JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-048254
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35.048254
OH
207V00000X
Obstetrics & Gynecology Physician
35048254
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0517622
OH
Enumeration date
07/12/2006
Last updated
12/26/2025
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