Individual
TAMARA MARQUITA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(201) 249-7812
(229) 985-3420
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 502-9782
(229) 891-9567
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
78141
GA
208M00000X
Hospitalist Physician
78141
GA
Other
Enumeration date
02/06/2015
Last updated
09/04/2025
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