Individual
CATHRYN MCGILL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 PALM AVE STE 700, JACKSONVILLE, FL 32207-8432
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME150274
FL
2086X0206X
Surgical Oncology Physician
Primary
ME150274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111600800
—
FL
01
—
Q00136684
RR MEDICARE
FL
Enumeration date
04/22/2013
Last updated
04/30/2025
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