| Allyn C Johnson Jr Mdpc | |
|
675 White Sulphur Rd Suite #280 Gainesville GA 30501-8921 | |
| (770) 532-9973 | |
| (770) 503-0775 |
| Full Name | Allyn C Johnson Jr Mdpc |
|---|---|
| Speciality | Internal Medicine |
| Location | 675 White Sulphur Rd, Gainesville, Georgia |
| Authorized Official Name and Position | Kathy A Bellotte (OFFICE MANAGER) |
| Authorized Official Contact | 7705329973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allyn C Johnson Jr Mdpc 675 White Sulphur Rd Suite #280 Gainesville GA 30501-8921 Ph: (770) 532-9973 | Allyn C Johnson Jr Mdpc 675 White Sulphur Rd Suite #280 Gainesville GA 30501-8921 Ph: (770) 532-9973 |
| NPI Number | 1700040060 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700040060 | NPI | - | NPPES |
| 00269992B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 06661 (Georgia) | Primary |
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