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1104186246
ANTHONY WAYNE JOHNSON
VALDOSTA, GA
NPI
1104186246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 005433)
Enumeration Date
2012-05-23
Last Update Date
2016-02-23
Business Address
-- ANTHONY WAYNE JOHNSON MD
3207 COUNTRY CLUB RD
VALDOSTA, GA 31605-1029
Phone number: 229-242-8480
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Mailing Address
-- ANTHONY WAYNE JOHNSON MD
3207 COUNTRY CLUB RD
VALDOSTA, GA 31605-1029
Phone number: 229-242-8480
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