Individual
DR. QUAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5135 WRIGHTSBORO RD STE B, GROVETOWN, GA 30813-2803
(706) 854-2500
(706) 854-2559
Mailing address
411 TOWN PARK BLVD, EVANS, GA 30809-3487
(706) 854-2500
(706) 854-2559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
94866
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003284191A
—
GA
05
—
003284191B
—
GA
05
—
003284191D
—
GA
Enumeration date
05/20/2008
Last updated
01/30/2024
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