Organization
MINIMALLY INVASIVE & VASCULAR SOLUTIONS, LLC
Active
Other names
MIVS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK DWAYNE JOHNSON JR. MD (OWNER)
(501) 348-5797
Entity
Organization
Contact information
Practice address
1401 E JACKSON ST, THOMASVILLE, GA 31792-3938
(501) 348-5797
Mailing address
PO BOX 5764, THOMASVILLE, GA 31758-5764
(501) 348-5797
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
09/06/2025
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