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Individual

CAYLOR ELIZABETH JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8400
Mailing address
248 BROAD ST UNIT B, AUGUSTA, GA 30901-1516
(706) 832-9584

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10789
GA

Other

Enumeration date
04/15/2019
Last updated
04/15/2019
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