| Michael R Johns Psyd | |
|
3678 Vineville Ave Macon GA 31204-1868 | |
| (478) 477-2220 | |
| (478) 477-4455 |
| Full Name | Michael R Johns Psyd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3678 Vineville Ave, Macon, Georgia |
| Authorized Official Name and Position | Katherine Boyer (OFFICE MANAGER) |
| Authorized Official Contact | 4784772220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Johns Psyd 3678 Vineville Ave Macon GA 31204-1868 Ph: (478) 477-2220 | Michael R Johns Psyd 3678 Vineville Ave Macon GA 31204-1868 Ph: (478) 477-2220 |
| NPI Number | 1073833638 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 06/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073833638 | NPI | - | NPPES |
| 545766522F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY002759 (Georgia) | Primary |
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