Ray Edward Johnson, M.D.
Internal Medicine, Interventional Cardiology in Augusta, GA. Individual provider (NPI-1).
NPI number1124046545
StatusActive
Last updated in NPPESDec 27, 2023
Details
- NPI
- 1124046545
- Entity type
- Individual (NPI-1)
- Name
- Ray Edward Johnson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Certification date
- Dec 27, 2023
- Last updated
- Dec 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 27647 | GA | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 017835 | GA |
Practice location
1348 Walton WaySuite 5100
Augusta, GA 30901-5104
Phone 706-724-8611 · Fax 706-724-6202
Mailing address
1348 Walton WaySuite 5100
Augusta, GA 30901-5104
Phone 706-724-8611 · Fax 706-724-6202
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