Individual
JARVIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
673 W WASHINGTON ST, MONTICELLO, GA 31064-1371
(706) 468-8598
Mailing address
105 CRESCENT DR, FORSYTH, GA 31029-5464
(478) 233-0869
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPTO002920
GA
Other
Enumeration date
09/01/2015
Last updated
05/01/2025
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