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Organization
MTJ PSYCHIATRIC SERVICES INC
Active
Organization
MTJ PSYCHIATRIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN THOMAS JOHNSON MD (CEO)
(678) 984-7557
Entity
Organization
Contact information
Practice address
1291 STANLEY RD, KENNESAW, GA 30152
(770) 427-0147
(770) 427-4699
Mailing address
5907 BUCKNER CREEK DR, MABLETON, GA 30126
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
049301
GA
Other
Enumeration date
04/11/2006
Last updated
08/22/2020
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