Individual
DR. FREDERICK DWAYNE JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 5764, THOMASVILLE, GA 31758-5764
(229) 221-6596
Mailing address
PO BOX 5764, THOMASVILLE, GA 31758-5764
(229) 221-6596
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
51504
TN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
84342
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007629
—
TN
Enumeration date
05/06/2008
Last updated
09/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us