Individual
DR. PRINCESS G GAITAWE-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5735 MEEKER RD, GREENVILLE, OH 45331-1186
(937) 548-3806
(937) 548-2087
Mailing address
5735 MEEKER RD, GREENVILLE, OH 45331-1186
(937) 548-3806
(937) 548-2087
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01073248A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01073248A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35-127780
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204838
—
OH
01
—
12619416
CAQH
—
Enumeration date
06/24/2008
Last updated
09/18/2025
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