Individual
DR. JOHNNY LEVAR GOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
315 5TH ST SE, MOULTRIE, GA 31768-4838
(229) 589-8813
Mailing address
PO BOX 1976, MOULTRIE, GA 31776-1976
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN014445
GA
1223E0200X
Endodontics
DN21024
FL
Other
Enumeration date
04/13/2012
Last updated
12/01/2015
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