Individual
MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
2886 SANDY PLAINS RD, MARIETTA, GA 30066-0240
(404) 436-0664
(404) 393-6142
Mailing address
2886 SANDY PLAINS RD, MARIETTA, GA 30066-0240
(404) 436-0664
(404) 393-4162
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-399
GA
Other
Enumeration date
05/19/2016
Last updated
07/07/2016
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