Sidney P Johnson, M.d. P.c

NPI #1396934659 in Hazlehurst, Georgia

Provider Information

NPI Number: 1396934659
Entity Type: Organization
Organization Name: Sidney P Johnson, M.d. P.c
Primary Specialty: General Practice
Enumeration Date: Oct 23, 2007
Last Updated: Oct 23, 2007

Practice Location

Address: 11 JOHNSON ST
City: Hazlehurst
State: Georgia
ZIP Code: 31539-6243
Phone: (912) 375-2521

Authorized Official

Name: MRS. PHYLLIS GRIFFIN
Title: INSURANCE MANAGER
Phone: (912) 375-2521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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