Provider Demographics
NPI:1841451077
Name:JOHNSON, SARAH ANN (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 BROOKS AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-2140
Mailing Address - Country:US
Mailing Address - Phone:267-977-0196
Mailing Address - Fax:
Practice Address - Street 1:1500 OGLETHORPE AVE
Practice Address - Street 2:SUITE 500C
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2179
Practice Address - Country:US
Practice Address - Phone:706-546-7484
Practice Address - Fax:706-546-7488
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA066124207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology