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1134579071
GARY M JOHNSON
POOLER, GA
NPI
1134579071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN015172)
Enumeration Date
2016-06-21
Last Update Date
2016-06-21
Business Address
-- GARY M JOHNSON DMD
145 TRADERS WAY SUITE D
POOLER, GA 31322-6005
Phone number: 912-748-4494
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Mailing Address
-- GARY M JOHNSON DMD
145 TRADERS WAY SUITE D
POOLER, GA 31322
Phone number: 912-748-4494
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