JACKIE H JOHNSON

WARNER ROBINS, GA
NPI1679707541
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: GA  068744)
Additional Taxonomies207W00000X Ophthalmology
(Licence: FL  ME114525)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA  0116022302)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-05-07
Last Update Date2019-05-09
Business Address
Dr. JACKIE H JOHNSON MD
216 CORDER RD
WARNER ROBINS, GA 31088
Phone number: 478-923-5872
Mailing Address
Dr. JACKIE H JOHNSON MD
PO BOX 6479
WARNER ROBINS, GA 31095
Phone number: 478-923-5872