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Individual

MATTHEW JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2750 CHAPEL HILL RD STE 1200, DOUGLASVILLE, GA 30135-1721
(678) 981-6290
Mailing address
6397 LEE HWY, CHATTANOOGA, TN 37421-2564
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP008837T
GA
225100000X
Physical Therapist

Other

Enumeration date
07/29/2021
Last updated
04/29/2022
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