Individual provider · Type 1 NPI
Maureen Johnson, PA-C
Medical Physician Assistant · Tifton, GA
NPI number
1598042616
Active
Practice location
1401 Tift Ave N, Suite B
Tifton, GA 31794-3585
Fax (229) 382-0530
Mailing address
PO Box 7258
Tifton, GA 31793-7258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2219 (GA) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Tifton
About NPI 1598042616
Maureen Johnson, PA-C's National Provider Identifier is 1598042616, issued on Nov 3, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tifton, GA. The record was last updated on Dec 14, 2011.