Individual
MR. TOM NED JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-8290
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-8290
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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