Individual
WESLEY MICHAEL JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
7697
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
06/16/2015
Last updated
07/26/2023
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