Anthony Wayne Johnson, MD

NPI #1104186246 in Valdosta, Georgia

Provider Information

NPI Number: 1104186246
Entity Type: Individual
Name: Anthony Wayne Johnson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 23, 2012
Last Updated: Feb 23, 2016

Practice Location

Address: 3207 COUNTRY CLUB RD
City: Valdosta
State: Georgia
ZIP Code: 31605-1029
Phone: (229) 242-8480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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