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Individual

DR. HEZIKIAH BRODRICK JOHNSON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2601 DAWSON RD, ALBANY, GA 31707-1674
(229) 434-4313
(229) 883-7923
Mailing address
600 LONGBOW DR, ALBANY, GA 31721-8920
(229) 438-5886

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1391
GA

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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