Tom Ned Johnson III
Technician, Other in Fort Gordon, GA. Individual provider (NPI-1).
NPI number1588091979
StatusActive
Last updated in NPPESOct 1, 2013
Details
- NPI
- 1588091979
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tom Ned Johnson III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2013
- Last updated
- Oct 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
300 W Hospital RdFort Gordon, GA 30905-5741
Phone 706-787-8290
Mailing address
300 W Hospital RdFort Gordon, GA 30905-5741
Phone 706-787-8290
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