person
Mr. Kenneth Ray Johnson, PA-C
Surgical Physician Assistant in Evans, Georgia
NPI 1962784785

Kenneth Ray Johnson is a Surgical Physician Assistant based in Charlotte, GA and is specialized in Surgical. Kenneth Ray Johnson practices in Evans, GA and has the professional credentials of PA-C. The NPI Number for Kenneth Ray Johnson is 1962784785 and holds a License No. 6259 (Georgia).

The current practice location address for Kenneth Ray Johnson is 1203 Town Park Ln, Evans, GA and can be reached out via phone at 706-650-7546 and via fax at 706-922-9168.

Location: 1203 Town Park Ln, Evans, GA, 28263-3001
person
Provider Profile Details
NPI Number
1962784785
Provider Name
Kenneth Ray Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1203 Town Park Ln, Evans, GA, 28263-3001
Phone Number
706-650-7546
Fax Number
706-922-9168
Provider Enumeration Date
09/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1203 Town Park Ln
City
State
Zip
30809
Phone Number
706-650-7546
Fax Number
706-922-9168
person
Provider Business Mailing Address Details
Address
1203 Town Park Ln
City
State
Zip
30809
Phone Number
706-650-7546
Fax Number
706-922-9168
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
6259 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
6259 (Georgia)
Definition
Definition to come...
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