IndividualActive
Theodore Johnson, M.D., PH.D.
NPI 1255453759 · Pediatric Hematology & Oncology Physician · Augusta, GA
Provider details
- NPI number
- 1255453759
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 64115 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1120 Fifteenth Street, Cn-4141a
Augusta, GA 30912
Phone: (706) 721-3626
Fax: (706) 721-4804
Approximate (ZIP-level) locationGet directions
Mailing address
1120 Fifteenth Street, Cn-4141a
Augusta, GA 30912
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2017-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.