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1518975754

NPI Code Detail

MEDICARE: DR. LESTER T JOHNSTON JR. M.D.

MEDICARE: DR. LESTER T JOHNSTON JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	055605	GA
2	208000000X	Pediatrics Physician	055605	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518975754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESTER T JOHNSTON JR. M.D.

Provider Business Mailing Address
First Line	:	212 HOSPITAL DR
Second Line	:
City	:	WASHINGTON
State	:	GA
Zip	:	30673-5619
Country	:	US
Telephone Number	:	706-678-6944
Fax Number	:	706-678-6945

Provider Business Practice Location Address
First Line	:	212 HOSPITAL DR
Second Line	:
City	:	WASHINGTON
State	:	GA
Zip	:	30673-5619
Country	:	US
Telephone Number	:	706-678-6944
Fax Number	:	706-678-6945

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/24/2016

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Directions to “ DR. LESTER T JOHNSTON JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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