Individual
MR. ERIC H. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 FREEDOM WAY, 28-RU, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
4313 THRUSH CT, MARTINEZ, GA 30907-4415
(706) 855-0966
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1270
GA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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