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Individual

DOUGLAS W JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4796 CANTON RD, SUITE 400, MARIETTA, GA 30066-3250
(770) 926-9488
(770) 924-7480
Mailing address
4796 CANTON RD, SUITE 400, MARIETTA, GA 30066-3250
(770) 926-9488
(770) 924-7480

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01800
GA

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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