person
Dr. Samuel O Johnson, MD
Gynecology Physician in Carrollton, Georgia
NPI 1457394165

Samuel O Johnson is a Gynecology Physician based in Carrollton, GA and is specialized in Gynecology. Samuel O Johnson practices in Carrollton, GA and has the professional credentials of MD. The NPI Number for Samuel O Johnson is 1457394165 and holds a License No. 026137 (Georgia).

The current practice location address for Samuel O Johnson is 109 Ambulance Drive, Carrollton, GA and can be reached out via phone at 770-214-1335 and via fax at 770-214-1332.

Location: 109 Ambulance Drive, Carrollton, GA, 30117-3855
person
Provider Profile Details
NPI Number
1457394165
Provider Name
Samuel O Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
109 Ambulance Drive, Carrollton, GA, 30117-3855
Phone Number
770-214-1335
Fax Number
770-214-1332
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
52486217003 01 GA BLUE CROSS
000531319O 05 GA
institution
Provider Business Practice Location Address Details
Address
109 Ambulance Drive
City
State
Zip
30117-3855
Phone Number
770-214-1335
Fax Number
770-214-1332
person
Provider Business Mailing Address Details
Address
109 Ambulance Drive
City
State
Zip
30117-3855
Phone Number
770-214-1335
Fax Number
770-214-1332
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
026137 (Georgia)
Definition
Definition to come...
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