Organization
JOHNSON MEDICAL AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOHNSON M.D. (CHIEF OFFICER)
(912) 580-1516
Entity
Organization
Contact information
Practice address
5500 FREDERICA RD, SUITE 2202, SAINT SIMONS ISLAND, GA 31522-9710
(912) 580-1551
Mailing address
5500 FREDERICA RD, SUITE 2202, SAINT SIMONS ISLAND, GA 31522-9710
(912) 580-1551
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
064997
GA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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