Organization
MIDDLE GEORGIA ALLERGY AND ASTHMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY JOHNSON M.D. (PHYSICIAN)
(478) 353-1058
Entity
Organization
Contact information
Practice address
229 INDUSTRIAL BLVD, DUBLIN, GA 31021-2969
(478) 353-1058
(478) 238-0841
Mailing address
229 INDUSTRIAL BLVD, DUBLIN, GA 31021-2969
(478) 353-1058
(478) 238-0841
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
64841
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110844P
—
GA
01
—
202I032517
MEDICARE PTAN
GA
Enumeration date
01/05/2015
Last updated
01/27/2021
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