Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 56721 | GA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 56721 | GA |
NPI | 1265595847 |
---|---|
Provider Name | Dr. Julia F. Johnson |
First Address | Savannah, GA 31404-6220 |
Second Address | Savannah, GA 31404-6220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 12/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
603410493A | (05) | GA |
I42288 | (02) |