Individual
DR. LOCKE JOHNSON BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, STE. 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042-0012239
VT
207RH0003X
Hematology & Oncology Physician
Primary
074148
GA
Other
Enumeration date
04/04/2008
Last updated
10/08/2015
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