Individual
BRIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST # BP-2130, AUGUSTA, GA 30912-0004
(706) 721-1794
Mailing address
1120 15TH ST # BP-2130, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15268
GA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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