Individual
MARIAN SYMMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
682 HEMLOCK ST STE 210, MACON, GA 31201
(478) 633-6090
Mailing address
3696 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 736-1830
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
80122
GA
Other
Enumeration date
04/05/2011
Last updated
08/04/2021
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