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Search › Georgia › 183500000X

Nicholas Johnson

NPI 1407251044 · on the registry since 2014

Practice

Address
1061 Harmon Ave
Fort Stewart, GA 31314
Phone
(912) 435-6633
Organisation at this address
U.S. Army
Federal Government
Ach Winn-Ft Stewart
Winn Army Community
Ach Winn-Ft Stewart
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,116

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-28

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