NPI 1811266646

Eddie P Johnson III, DMD, PC

Organisation Preferred Provider Organization Augusta, GA

Practice location

Address: 2755 Barton Chapel Rd, Augusta, GA 30906
Phone: (706) 790-9179
Fax: (706) 790-3408
Mailing address: 2755 Barton Chapel Rd, Augusta, GA 30906-9579

Authorised official

Name: Eddie P Johnson
Title: Dentist
Phone: (706) 790-9179

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 009685 (GA)

Other Preferred Provider Organization providers in Georgia →

Registry record

NPI: 1811266646
Entity type: Organization
NPI issued: 23 Dec 2011
Record last updated: 23 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.