Dr. Theodore Samuel Johnson
M.D., PH.D. | Pediatric Hematology-Oncology | Male
Dr. Theodore Samuel Johnson, M.D., PH.D. is a Augusta, Georgia based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Theodore Samuel Johnson is
1120 Fifteenth Street, Cn-4141a, Augusta, Georgia - 30912. He can be contacted on phone at
706-721-3626 and fax number 706-721-4804.
Dr. Theodore Samuel Johnson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Theodore Samuel Johnson is
1255453759 which was assigned by NPPES on 04 Apr, 2007 and it was last updated on 15 Jun, 2017.
Dr. Theodore Samuel Johnson license number is
64115 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Georgia.
Dr. Theodore Samuel Johnson is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Theodore Samuel Johnson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Theodore Samuel Johnson |
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| Credential : | M.D., PH.D. |
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| Gender : | Male |
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Business Address:
Dr. Theodore Samuel Johnson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1120 Fifteenth Street, Cn-4141a
Augusta, GA, 30912
United States |
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| Phone Number : | 706-721-3626 |
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| Fax Number : | 706-721-4804 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1255453759 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Apr, 2007 |
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| Last Updated On : | 15 Jun, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Theodore Samuel Johnson are as mentioned. Primary taxonomy code for Dr. Theodore Samuel Johnson, M.D., PH.D. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 64115 | GA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1120 Fifteenth Street, Cn-4141a
Augusta, GA, 30912
United States |
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| Phone Number : | 706-721-3626 |
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| Fax Number : | 706-721-4804 |
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Business Location:
Patients can refer following map for directions to
Dr. Theodore Samuel Johnson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.