Search › Georgia › 207W00000X
Jackie Johnson, MD
NPI 1679707541 · on the registry since 2009
Practice
- Address
- 216 Corder Rd
Warner Robins, GA 31088 - Phone
- (478) 923-5872
- Fax
- (478) 929-6266
- Organisation at this address
- Gayton Health Centre, Pc
Gayton Health Centre, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 1011 N 4th St, Cordele, GA
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207W00000X
390200000X
390200000X - Licence states on file
- FL, VA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia