Individual
DR. NIKKIA F. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39 KENT RD STE 5, TIFTON, GA 31794-1697
(229) 353-7337
(229) 391-4051
Mailing address
39 KENT RD STE 5, TIFTON, GA 31794-1697
(229) 353-7337
(229) 391-4051
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
001278
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459384605A
—
GA
Enumeration date
04/03/2007
Last updated
12/01/2020
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