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1265516538
DOUGLAS S JOHNSON
MACON, GA
NPI
1265516538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN009559)
Enumeration Date
2006-10-24
Last Update Date
2024-09-22
Business Address
DOUGLAS S JOHNSON DMD
4885 RIVERSIDE DR STE 101
MACON, GA 31210-1164
Phone number: 478-722-9865
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Mailing Address
DOUGLAS S JOHNSON DMD
4885 RIVERSIDE DR STE 101
MACON, GA 31210-1164
Phone number: 478-722-9865
Copy
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