Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DURWOOD M JOHNSON JR., DMD
Active Sole ProprietorDR. DURWOOD M JOHNSON JR., DMD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in FAYETTEVILLE, Georgia. NPI 1861505141 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1861505141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (19.954354620848 yrs)
- Last Updated
- Jun 20, 2012
- License
-
7973 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1260 HWY 54 WSUITE 200FAYETTEVILLE, GA, 30214Browse GA providers · Browse ZIP 30214
- Phone
- 7704612101
- Fax
- 7704601292
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
Other Oral & Maxillofacial Surgery (Physician) Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| JACOB LEE | DMD, MD | 1912438805 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.