Individual
JEFFERY IRWIN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
Mailing address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031614
GA
Other
Enumeration date
08/17/2005
Last updated
07/08/2007
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