Individual
MR. DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137031
—
GA
Enumeration date
07/18/2013
Last updated
02/24/2025
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