Individual
DR. ROBERT WILLIAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 WALTON WAY, WOUND AND HYPERBARIC, AUGUSTA, GA 30901-2612
(706) 774-7242
(706) 774-7243
Mailing address
PO BOX 31258, ATTN. CONTRACT PHYSICIAN SERVICES, AUGUSTA, GA 30903-3058
(706) 828-2365
(706) 774-7243
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
015209
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000176074C
—
GA
05
—
G15209
—
SC
Enumeration date
07/12/2005
Last updated
02/03/2014
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