Search › Georgia › 152W00000X
Rourger Johnson, O.D
NPI 1548370620 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5615 Memorial Dr Ste G
Stone Mountain, GA 30083 - Phone
- (404) 299-8180
- Fax
- (404) 299-8147
- Organisation at this address
- Dominion Optical Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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