NPI 1467575530

Adeline Janine Johnson, MD

Practitioner Dermatology Physician Evans, GA

Practice location

Address: 902 Ponder Place CT 1st Floor, Evans, GA 30809-3184
Phone: (706) 922-3376
Fax: (706) 922-5643

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence RTP001237 (GA)

Other Dermatology providers in Georgia →

Registry record

NPI: 1467575530
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2007
Record last updated: 13 Nov 2008

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.