Organization
WOMEN'S HEALTH GROUP SE GA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW M JOHNSTON MD (OWNER)
(912) 267-0884
Entity
Organization
Contact information
Practice address
418 EH COURT UNIT 4B, BRUNSWICK, GA 31520
(912) 267-0884
(912) 267-7948
Mailing address
418 EH COURT UNIT 4B, BRUNSWICK, GA 31520
(912) 267-0884
(912) 267-7948
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031447777A
—
GA
Enumeration date
08/23/2006
Last updated
02/22/2018
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