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Organization

ALLYN C JOHNSON JR MDPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY A BELLOTTE (OFFICE MANAGER)
(770) 532-9973
Entity
Organization

Contact information

Practice address
675 WHITE SULPHUR RD, SUITE #280, GAINESVILLE, GA 30501-8921
(770) 532-9973
(770) 503-0775
Mailing address
675 WHITE SULPHUR RD, SUITE #280, GAINESVILLE, GA 30501-8921
(770) 532-9973
(770) 503-0775

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
06661
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00269992B
GA
Enumeration date
07/16/2008
Last updated
07/16/2008
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