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Kim Walden Johnston, MD
Neurological Surgery Physician in Macon, Georgia
NPI 1417994096

Kim Walden Johnston is a Neurological Surgery Physician based in Macon, GA. Kim Walden Johnston practices in Macon, GA and has the professional credentials of MD. The NPI Number for Kim Walden Johnston is 1417994096 and holds a License No. 024443 (Georgia).

The current practice location address for Kim Walden Johnston is 840 Pine St, Macon, GA and can be reached out via phone at 478-743-7092 and via fax at 478-743-6293. You can also correspond with Kim Walden Johnston through the mailing address at 840 PINE ST STE 880, MACON, GA - 31201-7525 (mailing address contact number: 478-743-7092).

Location: 840 Pine St, Macon, GA, 31201-7525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417994096
Provider Name
Kim Walden Johnston
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
840 Pine St, Macon, GA, 31201-7525
Phone Number
478-743-7092
Fax Number
478-743-6293
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00358234A 05 GA
institution
Provider Business Practice Location Address Details
Address
840 Pine St
City
Macon
State
Georgia
Zip
31201-2100
Phone Number
478-743-7092
Fax Number
478-743-6293
person
Provider Business Mailing Address Details
Address
840 Pine St Ste 880
City
Macon
State
Georgia
Zip
31201-7525
Phone Number
478-743-7092
Fax Number
478-743-6293
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
024443 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
024443 (Georgia)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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