Individual provider · Type 1 NPI

Theodore Samuel Johnson, MD, PhD

Pediatric Hematology & Oncology Physician · Augusta, GA

NPI number 1255453759 Active

Practice location

1120 Fifteenth Street, CN-4141A
Augusta, GA 30912

Call (706) 721-3626 Map

Fax (706) 721-4804

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hematology & Oncology Physician Primary 2080P0207X64115 (GA)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1255453759

Theodore Samuel Johnson, MD, PhD's National Provider Identifier is 1255453759, issued on Apr 4, 2007. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Augusta, GA. The record was last updated on Jun 15, 2017.