Individual
DR. NATHANIEL JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3915 CASCADE RD SW, STE. T-115, ATLANTA, GA 30331-8512
(404) 696-8606
Mailing address
300 REGENCY CREST CT SW, ATLANTA, GA 30331-2061
(404) 456-1645
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
032336
GA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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