Individual
GRAHAM OLIVER CHILDS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5800 WALNUT ST, REAR (SAYRE HEALTH CENTER), PHILADELPHIA, PA 19139-3836
(215) 474-4444
Mailing address
5800 WALNUT ST, REAR (SAYRE HEALTH CENTER), PHILADELPHIA, PA 19139-3836
(215) 474-4444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD451937
PA
Other
Enumeration date
06/17/2011
Last updated
07/20/2022
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