Individual
DR. EVELYN J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 S MAIN ST STE C, BAXLEY, GA 31513-0185
(912) 705-1227
(912) 705-0673
Mailing address
408 S MAIN ST STE C, BAXLEY, GA 31513-0185
(912) 705-1227
(912) 705-0673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056182
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590705328A
—
GA
Enumeration date
03/29/2006
Last updated
04/06/2018
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