Jerry Steven Johnson in Thomasville - Radiation Oncology
Jerry Steven Johnson - NPI 1053392217
Jerry Steven Johnson is a Radiation Oncology in Thomasville, Georgia. Jerry Steven Johnson practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Jerry Steven Johnson is 1053392217. The last update date is 2010-03-23.
Jerry Steven Johnson's current location address is 116 Mimosa Dr, Thomasville, Georgia. You can contact this provider via phone number 2292282982 and fax number 2295518784. The mailing address for Jerry Steven Johnson is 116 Mimosa Dr, Thomasville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry Steven Johnson |
---|---|
Address | 116 Mimosa Dr, Thomasville, Georgia |
Phone Number | 2292282982 |
Fax Number | 2295518784 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1053392217 |
---|---|
Provider Enumeration Date | 2005-11-07 |
Last Updated Date | 2010-03-23 |
Provider Mailing Address Detail
Address | 116 Mimosa Dr |
---|---|
City | Thomasville |
State | Georgia (GA) |
Post Code | 317926605 |
Phone Number | 2292282982 |
Fax Number | 2295518784 |
Provider's Primary Taxonomy Detail
Speciality | Radiation Oncology |
---|---|
Taxonomy | 2085R0001X |
Licence No | 30487 |
Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00364174A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry Steven Johnson?
The Jerry Steven Johnson has been issued the NPI (National Provider Identifier) 1053392217 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jerry Steven Johnson's facilities are geographically located?
The facilities of Jerry Steven Johnson are physically situated at the following location: 116 Mimosa Dr, Thomasville, GA, 317926605.
What is the Jerry Steven Johnson's area of specialization and corresponding taxonomy classification?
The Jerry Steven Johnson's specialty field is Radiation Oncology, and it falls under the taxonomy code 2085R0001X, which categorizes healthcare providers based on their specialties.
On what date did the Jerry Steven Johnson receive the assignment of its 1053392217 from the Centers for Medicare & Medicaid Services?
The Jerry Steven Johnson was issued its 1053392217 by the Centers for Medicare & Medicaid Services on 2005-11-07.
As of what date was the information pertaining to Jerry Steven Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry Steven Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-23.