Individual
ARTHUR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3624 J DEWEY GRAY CIR STE 200, AUGUSTA, GA 30909-6586
(706) 504-9712
(706) 504-9703
Mailing address
3624 J DEWEY GRAY CIR STE 200, AUGUSTA, GA 30909-6586
(706) 504-9712
(706) 504-9703
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
89659
GA
390200000X
Student in an Organized Health Care Education/Training Program
201213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I20151204000144
PECOS
VA
Enumeration date
04/29/2014
Last updated
08/16/2021
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