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Sidney P Johnson, M.d. P.c
General Practice Physician in Hazlehurst, Georgia
NPI 1396934659

Sidney P Johnson, M.d. P.c is a General Practice Physician based in Hazlehurst, GA. Sidney P Johnson, M.d. P.c practices in Hazlehurst, GA. The NPI Number for Sidney P Johnson, M.d. P.c is 1396934659 and holds a License No. 10971 (Georgia).

The current practice location address for Sidney P Johnson, M.d. P.c is 11 Johnson St, Hazlehurst, GA and can be reached out via phone at 912-375-2521.

Location: 11 Johnson St, Hazlehurst, GA, 31539-0787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396934659
Provider Name
Sidney P Johnson, M.d. P.c
Credential
Provider Entity Type
Organization
Address
11 Johnson St, Hazlehurst, GA, 31539-0787
Phone Number
912-375-2521
Fax Number
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00112912A 05 GA
institution
Provider Business Practice Location Address Details
Address
11 Johnson St
City
Hazlehurst
State
Georgia
Zip
31539-6243
Phone Number
912-375-2521
Fax Number
person
Provider Business Mailing Address Details
Address
11 Johnson St
City
Hazlehurst
State
Georgia
Zip
31539-6243
Phone Number
912-375-2521
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
10971 (Georgia)
Definition
Definition to come...
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