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Individual
DR. RODNEY MARC JOHNSON
Active
Individual
DR. RODNEY MARC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
64841
GA
207R00000X
Internal Medicine Physician
64841
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110844P
—
GA
01
—
202I032517
MEDICARE PTAN
GA
Enumeration date
04/09/2007
Last updated
01/27/2021
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