Individual
JOEL M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1007 GREENFIELD DRIVE, TIFTON, GA 31794-3795
(229) 382-9733
(229) 387-6161
Mailing address
1007 GREENFIELD DR, TIFTON, GA 31794-3795
(229) 382-9733
(229) 387-6161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
030799
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00374646A
—
GA
Enumeration date
03/01/2006
Last updated
12/01/2020
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