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1255453759
THEODORE SAMUEL JOHNSON
AUGUSTA, GA
NPI
1255453759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: GA 64115)
Enumeration Date
2007-04-04
Last Update Date
2017-06-15
Business Address
Dr. THEODORE SAMUEL JOHNSON M.D., Ph.D.
1120 FIFTEENTH STREET, CN-4141A
AUGUSTA, GA 30912
Phone number: 706-721-3626
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Mailing Address
Dr. THEODORE SAMUEL JOHNSON M.D., Ph.D.
1120 FIFTEENTH STREET, CN-4141A
AUGUSTA, GA 30912
Phone number: 706-721-3626
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