Organization
SOUTH GEORGIA SURGICAL CLINIC PC
Active
Other names
SOUTH GEORGIA SURGICAL CLINIC PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL M JOHNSON MD (PRESIDENT)
(229) 382-9733
Entity
Organization
Contact information
Practice address
1007 GREENFIELD DR, TIFTON, GA 31794-3795
(229) 382-9733
(229) 387-6161
Mailing address
1007 GREENFIELD DR, TIFTON, GA 31794-3795
(229) 382-9733
(229) 387-6161
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
GA
Other
Enumeration date
03/30/2006
Last updated
07/21/2022
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