IndividualActive
Jerry Johnson, M.D.
NPI 1053392217 · Radiation Oncology Physician · Thomasville, GA
Provider details
- NPI number
- 1053392217
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 30487 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
116 Mimosa Dr
Thomasville, GA 31792-6605
Phone: (229) 228-2982
Fax: (229) 551-8784
Approximate (ZIP-level) locationGet directions
Mailing address
116 Mimosa Dr
Thomasville, GA 31792-6605
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2010-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.