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1053392217
JERRY STEVEN JOHNSON
THOMASVILLE, GA
NPI
1053392217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: GA 30487)
Enumeration Date
2005-11-07
Last Update Date
2010-03-23
Business Address
-- JERRY STEVEN JOHNSON M.D.
116 MIMOSA DR
THOMASVILLE, GA 31792-6605
Phone number: 229-228-2982
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Mailing Address
-- JERRY STEVEN JOHNSON M.D.
116 MIMOSA DR
THOMASVILLE, GA 31792-6605
Phone number: 229-228-2982
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