IndividualActive
Brian Johnson
NPI 1720483977 · Contractor · Hephzibah, GA
Provider details
- NPI number
- 1720483977
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2940 Wakefield Ct
Hephzibah, GA 30815-6542
Phone: (706) 449-2880
Fax: (706) 793-0411
Approximate (ZIP-level) locationGet directions
Mailing address
2940 Wakefield Ct
Hephzibah, GA 30815-6542
Registry dates
- Enumerated
- 2014-10-30
- Last updated
- 2014-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.