NPI | 1811963283 |
---|---|
Professional Name | J. GILLIAM JOHNSTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 14733) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 042-0011922) |
207Q00000X Family Medicine (Licence: ME 012982) | |
Enumeration Date | 2006-02-27 |
Last Update Date | 2012-12-05 |