Bruce L Johnson, O.D.

NPI #1710919634 in Dalton, Georgia

Provider Information

NPI Number: 1710919634
Entity Type: Individual
Name: Bruce L Johnson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 7, 2006
Last Updated: Mar 29, 2011

Practice Location

Address: 1008 RIVERBURCH PKWY
City: Dalton
State: Georgia
ZIP Code: 30721-8630
Phone: (706) 278-0518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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