Individual
MR. LIONEL TERRY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPERATIONS
Contact information
Practice address
5825 GLENRIDGE DR STE 2-212, ATLANTA, GA 30328-5394
(678) 939-2749
(404) 256-2627
Mailing address
5825 GLENRIDGE DR STE 2-214, ATLANTA, GA 30328-5394
(678) 939-2749
(404) 256-2627
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
00315
GA
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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