Priscilla Phan Johnson, PA

NPI #1578098695 in Martinez, Georgia

Provider Information

NPI Number: 1578098695
Entity Type: Individual
Name: Priscilla Phan Johnson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: PA
Enumeration Date: Apr 26, 2017
Last Updated: Dec 1, 2023

Practice Location

Address: 1100 W LAKE COMMONS DR
City: Martinez
State: Georgia
ZIP Code: 30907-7932
Phone: (706) 250-6919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Physician Assistant	363A00000X
Physician Assistant - Medical — Medical	363AM0700X

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