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Dr. Theodore Samuel Johnson, MD,PHD
Pediatric Hematology & Oncology Physician in Augusta, Georgia
NPI 1255453759

Theodore Samuel Johnson is a Pediatric Hematology & Oncology Physician based in Augusta, GA and is specialized in Pediatric Hematology-Oncology. Theodore Samuel Johnson practices in Augusta, GA and has the professional credentials of MD,PHD. The NPI Number for Theodore Samuel Johnson is 1255453759 and holds a License No. 64115 (Georgia).

The current practice location address for Theodore Samuel Johnson is 1120 Fifteenth Street, Cn-4141A, Augusta, GA and can be reached out via phone at 706-721-3626 and via fax at 706-721-4804.

Location: 1120 Fifteenth Street, Cn-4141A, Augusta, GA, 30912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255453759
Provider Name
Theodore Samuel Johnson
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
1120 Fifteenth Street, Cn-4141A, Augusta, GA, 30912
Phone Number
706-721-3626
Fax Number
706-721-4804
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1120 Fifteenth Street, Cn-4141A
City
Augusta
State
Georgia
Zip
30912
Phone Number
706-721-3626
Fax Number
706-721-4804
person
Provider Business Mailing Address Details
Address
1120 Fifteenth Street, Cn-4141A
City
Augusta
State
Georgia
Zip
30912
Phone Number
706-721-3626
Fax Number
706-721-4804
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
2080P0207X
License No.
64115 (Georgia)
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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