Individual
ANDREW T JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-5700
(770) 718-1877
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
078130
GA
207RX0202X
Medical Oncology Physician
Primary
078130
GA
Other
Enumeration date
04/11/2011
Last updated
04/12/2021
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