Individual
JOSHUA KENT JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
550 PEACHTREE ST NE STE 1500, ATLANTA, GA 30308-2248
(404) 897-6810
(404) 829-1319
Mailing address
1569 TRENTWOOD PL NE, ATLANTA, GA 30319
(404) 680-8474
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002197
GA
152W00000X
Optometrist
OPT13677T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159565798A
—
GA
01
—
P001185806
RAILROAD MEDICARE
GA
Enumeration date
08/13/2006
Last updated
08/25/2021
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