Search › Georgia › 2255A2300X
Jay Johnson, MED,ATC,LAT
NPI 1942350954 · on the registry since 2007
Practice
- Address
- 1500 N Patterson St
Valdosta, GA 31698 - Phone
- (229) 333-5897
- Fax
- (229) 333-5205
- Organisation at this address
- Valdosta State University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- FL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-23
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