Provider Demographics
NPI:1164492203
Name:WON, JOHNNY (MD)
Entity type:Individual
Prefix:
First Name:JOHNNY
Middle Name:
Last Name:WON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:925 N POINT PKWY
Mailing Address - Street 2:STE 130
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5210
Mailing Address - Country:US
Mailing Address - Phone:678-206-2589
Mailing Address - Fax:678-261-1713
Practice Address - Street 1:6916 MCGINNIS FERRY RD
Practice Address - Street 2:STE 100
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1258
Practice Address - Country:US
Practice Address - Phone:678-347-2100
Practice Address - Fax:678-473-9752
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2023-11-15
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Provider Licenses
StateLicense IDTaxonomies
GA67187207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology