Organization
SOUTHERN SHORES FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA JOHNSON MD (OWNER)
(912) 550-3094
Entity
Organization
Contact information
Practice address
2658 US HIGHWAY 17, RICHMOND HILL, GA 31324-3374
(912) 356-9900
(912) 550-3094
Mailing address
2658 US HIGHWAY 17, RICHMOND HILL, GA 31324-3374
(912) 356-9900
(912) 445-6012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
04/10/2026
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