Individual
GREGORY WAYNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(478) 234-7849
Mailing address
465 LAKE LAUREL RD NE, MILLEDGEVILLE, GA 31061-8447
(470) 222-8194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN202149
GA
Other
Enumeration date
05/10/2018
Last updated
09/23/2020
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