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Dr. Frederick Dwayne Johnson JR., MD
Vascular & Interventional Radiology Physician in Thomasville, Georgia
NPI 1619143914

Frederick Dwayne Johnson JR. is a Vascular & Interventional Radiology Physician based in Thomasville, GA and is specialized in Vascular & Interventional Radiology. Frederick Dwayne Johnson JR. practices in Thomasville, GA and has the professional credentials of MD. The NPI Number for Frederick Dwayne Johnson JR. is 1619143914 and holds a License No. 51504 (Georgia).

The current practice location address for Frederick Dwayne Johnson JR. is 900 Gordon Ave, Thomasville, GA and can be reached out via phone at 229-226-0125.

Location: 900 Gordon Ave, Thomasville, GA, 31792-6613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619143914
Provider Name
Frederick Dwayne Johnson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
900 Gordon Ave, Thomasville, GA, 31792-6613
Phone Number
229-226-0125
Fax Number
Provider Enumeration Date
05/06/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q007629 05 TN
institution
Provider Business Practice Location Address Details
Address
900 Gordon Ave
City
Thomasville
State
Georgia
Zip
31792-6613
Phone Number
229-226-0125
Fax Number
person
Provider Business Mailing Address Details
Address
900 Gordon Ave
City
Thomasville
State
Georgia
Zip
31792-6613
Phone Number
229-226-0125
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
84342 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
51504 (Tennessee)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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