Individual
DR. NICHOLAS TOVERA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
511 EBENEZER CHURCH RD, JEFFERSON, GA 30549-4525
(773) 791-2983
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01063115A
IN
207P00000X
Emergency Medicine Physician
036117169
IL
207P00000X
Emergency Medicine Physician
Primary
76417
GA
Other
Enumeration date
04/24/2007
Last updated
01/08/2017
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