Individual
KHADEJA JAMILIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 HOWELL MILL RD NW STE 275, ATLANTA, GA 30318-3098
(404) 756-1290
Mailing address
720 WESTVIEW DRIVE SW, HARRIS BLDG., 100-A, ATLANTA, GA 30310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
060281
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79534900B
—
GA
Enumeration date
03/24/2008
Last updated
08/05/2021
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