NPI 1053392217
Jerry Steven Johnson, MD
Practice location
- Address
- 116 Mimosa Dr, Thomasville, GA 31792-6605
- Phone
- (229) 228-2982
- Fax
- (229) 551-8784
Registered specialties
Radiation Oncology Physician
Primary
Registry record
- NPI
- 1053392217
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Nov 2005
- Record last updated
- 23 Mar 2010
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.