Brian Johnson

NPI #1720483977 in Hephzibah, Georgia

Provider Information

NPI Number: 1720483977
Entity Type: Individual
Name: Brian Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Oct 30, 2014
Last Updated: Oct 30, 2014

Practice Location

Address: 2940 WAKEFIELD CT
City: Hephzibah
State: Georgia
ZIP Code: 30815-6542
Phone: (706) 449-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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