Individual
DR. ADELINE JANINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
902 PONDER PLACE CT, 1ST FLOOR, EVANS, GA 30809-3184
(706) 922-3376
(706) 922-5643
Mailing address
902 PONDER PLACE CT, 1ST FLOOR, EVANS, GA 30809-3184
(706) 922-3376
(706) 922-5643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
RTP001237
GA
Other
Enumeration date
04/06/2007
Last updated
11/13/2008
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