Individual
DOUGLAS T. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2801 N DECATUR RD STE 200, DECATUR, GA 30033-5936
(404) 296-5005
(404) 296-2070
Mailing address
2801 N DECATUR RD SUITE 200, DECATUR, GA 30033-5825
(404) 296-5005
(404) 296-2070
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6115
GA
Other
Enumeration date
08/23/2007
Last updated
09/09/2011
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