NPI 1063424455
William Allen Johnson, MSCTRS
Practice location
- Address
- 1 Freedom Way, Augusta, GA 30904-6258
- Phone
- (706) 733-0188
- Mailing address
- 744 Tinker Creek Rd, Williston, SC 29853-5150
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1063424455
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Aug 2006
- Record last updated
- 8 Jul 2007
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.