NPI 1023018561

Carl David Johnson, MD

Practitioner Family Medicine Physician Tifton, GA

Practice location

Address: 612 Love Ave, Tifton, GA 31794
Phone: (229) 391-3300
Fax: (229) 388-1948

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 28796 (GA)

Other Family Medicine providers in Georgia →

Registry record

NPI: 1023018561
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2005
Record last updated: 8 May 2015

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.