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Organization
MILES DAVID JOHNSON, MD PC
Active
Organization
MILES DAVID JOHNSON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILES DAVID JOHNSON M. D. (CEO)
(404) 664-4578
Entity
Organization
Contact information
Practice address
150 FIDDLERS RDG, FAYETTEVILLE, GA 30214-2684
(404) 664-4578
(770) 991-5012
Mailing address
150 FIDDLERS RDG, FAYETTEVILLE, GA 30214-2684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Enumeration date
03/02/2016
Last updated
03/03/2016
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