Carla D Johnson, PA

NPI #1578626412 in Leesburg, Georgia

Provider Information

NPI Number: 1578626412
Entity Type: Individual
Name: Carla D Johnson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 19, 2006
Last Updated: Apr 6, 2016

Practice Location

Address: 101 OAKLAND CROSSING DR
City: Leesburg
State: Georgia
ZIP Code: 31763-7228
Phone: (229) 888-4093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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